go back

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

Illinois rates for HCPCS K0855

Power wheelchair, group 3 extra heavy-duty, captain's chair, patient weight capacity 601 pounds or more

Rates data updated July 2026.

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

$9,333

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $9,333 for this service. The price depends on where it is billed: about $9,333 from a physician practice, and about $3,548 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9,333$8,128 to $9,333
FacilityA hospital or hospital-owned outpatient department$3,548$1,660 to $11,220

How much rates vary

Facilitymedian $3,548 · 10th to 90th $813 to $11,220Professionalmedian $9,333 · 10th to 90th $5,495 to $11,482
$100.0$500.0$2.0K$10.0Kfacility $3,548professional $9,333

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$9,332.54
Typical High
$11,481.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$16,595.87
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$1,659.59
Typical High
$7,585.78
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$1,737.80
Typical High
$11,220.18
United
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,495.41
Typical High
$9,772.37

Where Illinois sits

The same service costs 2.5 times more in Minnesota than in Utah. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $9,333 · 22nd of 51
MN $15,488UT $6,166

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.