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Power Wheelchair, Group 3 Heavy-Duty, Captain's Chair

Illinois rates for HCPCS K0851

Power wheelchair, group 3 heavy-duty, captain's chair, patient weight capacity 301 to 450 pounds

Rates data updated October 2026.

How much does Power Wheelchair, Group 3 Heavy-Duty, Captain's Chair cost?

$5,754

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $5,754 for this service. The price depends on where it is billed: about $5,370 from a physician practice, and about $6,607 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,370$3,467 to $6,607
FacilityA hospital or hospital-owned outpatient department$6,607$6,607 to $75,858

How much rates vary

Facilitymedian $6,607 · 10th to 90th $6,026 to $138,038Professionalmedian $5,370 · 10th to 90th $2,089 to $7,413
$100$1K$10K$100Kfacility $6,607professional $5,370

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5,248.07
Median
$6,025.60
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$5,248.07
Median
$6,025.60
Typical High
$7,413.10
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$37,153.52
Median
$79,432.82
Typical High
$162,181.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$6,606.93
Typical High
$6,606.93
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$549.54
Median
$660.69
Typical High
$660.69
Hally Health
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$199.53
Hally Health
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Molina
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$758.58
Typical High
$4,897.79
United
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$3,548.13
Typical High
$8,317.64
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$323.59
Median
$524.81
Typical High
$1,258.93
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$3,981.07
Median
$4,570.88
Typical High
$5,623.41

Where Illinois sits

The same service costs 11.0 times more in North Dakota than in Mississippi. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 19th of 51

$5,754

ND $12,303MS $1,122

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.