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Power Wheelchair, Group 3 Very Heavy-Duty, Multiple Power

Illinois rates for HCPCS K0863

Power wheelchair, group 3 very heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 451 to 600 pounds

Rates data updated October 2026.

How much does Power Wheelchair, Group 3 Very Heavy-Duty, Multiple Power cost?

$6,026

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $6,026 for this service. The price depends on where it is billed: about $5,623 from a physician practice, and about $11,220 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$5,623$1,380 to $10,471
FacilityA hospital or hospital-owned outpatient department$11,220$11,220 to $128,825

How much rates vary

Facilitymedian $11,220 · 10th to 90th $10,471 to $234,423Professionalmedian $5,623 · 10th to 90th $1,380 to $11,220
$100$1K$10K$100Kfacility $11,220professional $5,623

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
$8,912.51
Median
$10,471.29
Typical High
$12,302.69
Aetna
Setting
Professional
Modifier
None
Typical Low
$8,912.51
Median
$10,471.29
Typical High
$12,589.25
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$64,565.42
Median
$138,038.43
Typical High
$275,422.87
BCBS Illinois
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,380.38
Typical High
$1,380.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$11,220.18
Typical High
$11,220.18
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$954.99
Median
$1,122.02
Typical High
$1,122.02
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
$389.05
Median
$1,288.25
Typical High
$8,317.64
United
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$6,025.60
Typical High
$14,125.38
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$549.54
Median
$891.25
Typical High
$2,137.96
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
$6,760.83
Median
$7,762.47
Typical High
$9,549.93

Where Illinois sits

The same service costs 11.0 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· 49th of 51

$6,026

ND $20,893MS $1,905

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.