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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 October 2026.

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

$4,266

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $4,266 for this service. The price depends on where it is billed: about $3,981 from a physician practice, and about $7,244 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$3,981$977 to $5,888
FacilityA hospital or hospital-owned outpatient department$7,244$5,012 to $91,201

How much rates vary

Facilitymedian $7,244 · 10th to 90th $5,012 to $162,181Professionalmedian $3,981 · 10th to 90th $977 to $7,244
$100$1K$10K$100Kfacility $7,244professional $3,981

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
$6,309.57
Median
$7,244.36
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
None
Typical Low
$6,309.57
Median
$7,244.36
Typical High
$8,912.51
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$44,668.36
Median
$95,499.26
Typical High
$190,546.07
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$5,011.87
Typical High
$5,011.87
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
$275.42
Median
$1,288.25
Typical High
$6,025.60
United
Setting
Professional
Modifier
None
Typical Low
$2,951.21
Median
$4,265.80
Typical High
$10,000.00
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$380.19
Median
$630.96
Typical High
$1,479.11
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
$4,677.35
Median
$5,495.41
Typical High
$6,760.83

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· 46th of 51

$4,266

ND $14,454MT $1,288

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.