go back

Illinois rates for HCPCS K0859

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

Rates data updated October 2026.

How much does HCPCS K0859 cost?

$6,607

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $6,607 for this service. The price depends on where it is billed: about $6,166 from a physician practice, and about $7,413 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$6,166$3,890 to $7,413
FacilityA hospital or hospital-owned outpatient department$7,413$7,413 to $87,096

How much rates vary

Facilitymedian $7,413 · 10th to 90th $6,918 to $154,882Professionalmedian $6,166 · 10th to 90th $2,692 to $8,511
$100$1K$10K$100Kfacility $7,413professional $6,166

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
$6,025.60
Median
$6,918.31
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
None
Typical Low
$6,025.60
Median
$6,918.31
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$4,466.84
Median
$5,248.07
Typical High
$6,456.54
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$42,657.95
Median
$91,201.08
Typical High
$181,970.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$7,413.10
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$630.96
Median
$741.31
Typical High
$741.31
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
$870.96
Median
$5,495.41
Typical High
$5,495.41
United
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$4,073.80
Typical High
$9,549.93
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$363.08
Median
$602.56
Typical High
$1,412.54

Where Illinois sits

The same service costs 10.7 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· 32nd of 51

$6,607

ND $13,804MS $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.