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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 October 2026.

How much does HCPCS K0859 cost?

$8,318

Typical negotiated rate. In Georgia, October 2026.

Insurers have agreed to pay about $8,318 for this service. The price depends on where it is billed: about $8,318 from a physician practice, and about $7,413 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8,318$4,571 to $8,913
FacilityA hospital or hospital-owned outpatient department$7,413$7,413 to $7,413

How much rates vary

Facilitymedian $7,413 · 10th to 90th $5,129 to $7,413Professionalmedian $8,318 · 10th to 90th $1,072 to $21,380
$500$1K$2K$5K$10K$20Kfacility $7,413professional $8,318

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
$5,128.61
Median
$5,128.61
Typical High
$5,754.40
Aetna
Setting
Professional
Modifier
None
Typical Low
$5,128.61
Median
$5,754.40
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$3,801.89
Median
$4,365.16
Typical High
$6,309.57
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$8,912.51
Typical High
$34,673.69
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$891.25
Median
$1,000.00
Typical High
$5,623.41
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$6,165.95
Median
$6,760.83
Typical High
$28,183.83
CareSource
Setting
Facility
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$13,803.84
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,413.10
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
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$6,309.57
United
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$3,981.07
Typical High
$6,760.83
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$234.42
Median
$489.78
Typical High
$1,000.00

Where Georgia 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.

Georgia· 12th of 51

$8,318

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.