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Florida 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?

$6,310

Typical negotiated rate. In Florida, October 2026.

Insurers have agreed to pay about $6,310 for this service. Most negotiated rates run $4,266 to $6,761.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,413 · 10th to 90th $6,457 to $7,413Professionalmedian $6,310 · 10th to 90th $3,388 to $7,413
$1K$2K$5K$10Kfacility $7,413professional $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
Facility
Modifier
None
Typical Low
$3,019.95
Median
$5,623.41
Typical High
$6,606.93
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,019.95
Median
$5,888.44
Typical High
$7,244.36
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$2,290.87
Median
$4,365.16
Typical High
$5,248.07
AvMed
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,230.27
Typical High
$7,762.47
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$7,413.10
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
RR · Rental
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$6,309.57
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
Florida Blue
Setting
Professional
Modifier
None
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Florida Blue
Setting
Professional
Modifier
RR · Rental
Typical Low
$741.31
Median
$1,230.27
Typical High
$1,230.27
Florida Blue
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
Molina
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$5,623.41
Typical High
$5,623.41
United
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$3,981.07
Typical High
$5,248.07
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$354.81
Median
$575.44
Typical High
$691.83
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51

Where Florida 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.

Florida· 41st of 51

$6,310

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.