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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 October 2026.

How much does HCPCS K0859 cost?

$4,365

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $4,365 for this service. The price depends on where it is billed: about $6,310 from a physician practice, and about $2,138 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6,310$3,388 to $8,913
FacilityA hospital or hospital-owned outpatient department$2,138$1,202 to $7,413

How much rates vary

Facilitymedian $2,138 · 10th to 90th $363 to $9,120Professionalmedian $6,310 · 10th to 90th $3,162 to $9,120
$100$200$500$1K$2K$5K$10Kfacility $2,138professional $6,310

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$6,918.31
Median
$9,120.11
Typical High
$9,120.11
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$346.74
Median
$1,548.82
Typical High
$2,344.23
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$6,760.83
Median
$8,912.51
Typical High
$11,220.18
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
$6,309.57
Median
$6,309.57
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$630.96
Median
$630.96
Typical High
$741.31
Medica
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$8,128.31
Typical High
$10,232.93
Medica
Setting
Facility
Modifier
RR · Rental
Typical Low
$2,454.71
Median
$5,623.41
Typical High
$5,623.41
Medica
Setting
Professional
Modifier
None
Typical Low
$3,019.95
Median
$3,388.44
Typical High
$5,370.32
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$316.23
Median
$489.78
Typical High
$575.44
United
Setting
Professional
Modifier
None
Typical Low
$2,884.03
Median
$3,388.44
Typical High
$5,623.41
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$316.23
Median
$512.86
Typical High
$575.44
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
$5,248.07
Median
$6,918.31
Typical High
$6,918.31

Where Arizona 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.

Arizona· 48th of 51

$4,365

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.