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Power Wheelchair, Group 3 Standard, Single Power Option

Illinois rates for HCPCS K0856

Power wheelchair, group 3 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Rates data updated October 2026.

How much does Power Wheelchair, Group 3 Standard, Single Power Option cost?

$3,162

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $3,162 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $5,888 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$2,692$851 to $4,365
FacilityA hospital or hospital-owned outpatient department$5,888$4,365 to $81,283

How much rates vary

Facilitymedian $5,888 · 10th to 90th $4,365 to $147,911Professionalmedian $2,692 · 10th to 90th $851 to $5,888
$100$1K$10K$100Kfacility $5,888professional $2,692

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5,128.61
Median
$5,888.44
Typical High
$6,918.31
Aetna
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$5,888.44
Typical High
$7,244.36
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$40,738.03
Median
$87,096.36
Typical High
$173,780.08
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$851.14
Typical High
$851.14
Cigna
Setting
Facility
Modifier
None
Typical Low
$776.25
Median
$4,365.16
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$4,365.16
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$371.54
Median
$436.52
Typical High
$436.52
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
$218.78
Median
$4,677.35
Typical High
$5,011.87
United
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$3,388.44
Typical High
$7,943.28
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$309.03
Median
$501.19
Typical High
$1,202.26
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
$3,548.13
Median
$4,365.16
Typical High
$5,370.32

Where Illinois sits

The same service costs 11.2 times more in North Dakota than in Montana. 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· 48th of 51

$3,162

ND $11,749MT $1,047

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.