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Georgia 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?

$6,761

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $6,761 for this service. The price depends on where it is billed: about $6,761 from a physician practice, and about $2,399 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 6 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$6,761$5,129 to $8,511
FacilityA hospital or hospital-owned outpatient department$2,399$575 to $4,571

How much rates vary

Facilitymedian $2,399 · 10th to 90th $339 to $7,413Professionalmedian $6,761 · 10th to 90th $1,445 to $10,000
$500$1K$2K$5K$10K$20Kfacility $2,399professional $6,761

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
$5,128.61
Median
$6,760.83
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$8,912.51
Typical High
$10,964.78
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$13,803.84
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
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
$7,413.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,230.27
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$4,073.80
Typical High
$6,918.31

Where Georgia 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.

Georgia· 28th of 51

$6,761

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.