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Iowa 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?

$7,413

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $7,413 for this service. The price depends on where it is billed: about $8,710 from a physician practice, and about $6,457 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8,710$4,074 to $11,220
FacilityA hospital or hospital-owned outpatient department$6,457$6,457 to $11,220

How much rates vary

Facilitymedian $6,457 · 10th to 90th $1,549 to $13,804Professionalmedian $8,710 · 10th to 90th $3,715 to $13,183
$1K$2K$5K$10Kfacility $6,457professional $8,710

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
$13,182.57
Median
$13,182.57
Typical High
$13,182.57
Aetna
Setting
Professional
Modifier
None
Typical Low
$5,128.61
Median
$9,549.93
Typical High
$13,182.57
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
$7,413.10
Median
$14,125.38
Typical High
$17,378.01
Hally Health
Setting
Professional
Modifier
None
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$10,232.93
Medica
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$6,456.54
Typical High
$13,803.84
Medica
Setting
Facility
Modifier
RR · Rental
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
Medica
Setting
Professional
Modifier
None
Typical Low
$2,884.03
Median
$4,073.80
Typical High
$11,748.98
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$436.52
Median
$602.56
Typical High
$1,659.59
Midlands
Setting
Professional
Modifier
None
Typical Low
$1,621.81
Median
$1,621.81
Typical High
$1,621.81
United
Setting
Professional
Modifier
None
Typical Low
$3,388.44
Median
$4,073.80
Typical High
$11,481.54
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$478.63
Median
$602.56
Typical High
$1,737.80
Wellmark
Setting
Professional
Modifier
None
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Wellmark
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
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
$3,801.89
Median
$7,244.36
Typical High
$9,772.37

Where Iowa 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.

Iowa· 21st of 51

$7,413

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.