go back

Power Wheelchair, Group 3 Heavy-Duty, Single Power Option

Illinois rates for HCPCS K0858

Power wheelchair, group 3 heavy-duty, single power option, sling/solid seat/back, patient weight 301 to 450 pounds

Rates data updated July 2026.

How much does Power Wheelchair, Group 3 Heavy-Duty, Single Power Option cost?

$7,244

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $7,244 for this service. The price depends on where it is billed: about $7,244 from a physician practice, and about $2,692 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 6 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$7,244$6,166 to $7,244
FacilityA hospital or hospital-owned outpatient department$2,692$1,288 to $8,710

How much rates vary

Facilitymedian $2,692 · 10th to 90th $631 to $8,710Professionalmedian $7,244 · 10th to 90th $2,455 to $8,913
$500$1K$2K$5K$10Kfacility $2,692professional $7,244

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
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6,165.95
Median
$7,244.36
Typical High
$8,912.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$977.24
Typical High
$977.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$12,882.50
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$1,071.52
Typical High
$6,025.60
United
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$1,348.96
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$4,265.80
Typical High
$7,585.78

Where Illinois sits

The same service costs 3.3 times more in Minnesota 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· 20th of 51

$7,244

MN $12,023MT $3,631

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.