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

Illinois rates for HCPCS K0864

Power wheelchair, group 3 extra heavy-duty, multiple power option, sling/solid seat/back, patient weight capacity 601 pounds or more

Rates data updated July 2026.

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

$12,303

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $12,303 for this service. The price depends on where it is billed: about $12,303 from a physician practice, and about $4,571 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 5 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$12,303$10,715 to $12,303
FacilityA hospital or hospital-owned outpatient department$4,571$2,188 to $14,791

How much rates vary

Facilitymedian $4,571 · 10th to 90th $1,072 to $14,791Professionalmedian $12,303 · 10th to 90th $7,244 to $15,136
$500$1K$2K$5K$10K$20Kfacility $4,571professional $12,303

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
$10,715.19
Median
$10,715.19
Typical High
$10,715.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$10,715.19
Median
$12,302.69
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$13,182.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$21,877.62
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$199.53
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,819.70
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,290.87
Typical High
$14,791.08
United
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$7,244.36
Typical High
$12,882.50

Where Illinois sits

The same service costs 2.5 times more in Minnesota than in Washington, DC. 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· 24th of 51

$12,303

MN $20,417DC $8,128

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.