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Arizona 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 July 2026.

How much does HCPCS K0859 cost?

$7,586

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $7,586 for this service. The price depends on where it is billed: about $7,586 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$7,586$5,623 to $9,550
FacilityA hospital or hospital-owned outpatient department$4,571$603 to $7,586

How much rates vary

Facilitymedian $4,571 · 10th to 90th $363 to $8,511Professionalmedian $7,586 · 10th to 90th $3,388 to $11,220
$100$500$2K$10Kfacility $4,571professional $7,586

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
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$9,120.11
Typical High
$10,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$602.56
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$9,332.54
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$14,125.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,244.36
Typical High
$10,232.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,388.44
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,230.27
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,388.44
Typical High
$6,760.83

Where Arizona sits

The same service costs 2.5 times more in Minnesota than in Utah. 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.

Arizona· 12th of 51

$7,586

MN $11,482UT $4,571

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.