go back

Idaho 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?

$5,623

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $5,623 for this service. The price depends on where it is billed: about $5,370 from a physician practice, and about $6,026 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,370$1,349 to $8,710
FacilityA hospital or hospital-owned outpatient department$6,026$1,549 to $8,318

How much rates vary

Facilitymedian $6,026 · 10th to 90th $1,175 to $13,490Professionalmedian $5,370 · 10th to 90th $1,288 to $9,120
$1K$2K$5K$10Kfacility $6,026professional $5,370

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
$7,079.46
Median
$13,489.63
Typical High
$13,489.63
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$1,949.84
Typical High
$13,182.57
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$8,709.64
Typical High
$9,120.11
BCBS Idaho
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,288.25
Median
$1,348.96
Typical High
$1,348.96
BCBS Idaho
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$977.24
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
Professional
Modifier
None
Typical Low
$6,309.57
Median
$6,918.31
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$630.96
Median
$741.31
Typical High
$741.31
Moda Health
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$7,079.46
Typical High
$13,489.63
Moda Health
Setting
Professional
Modifier
None
Typical Low
$7,079.46
Median
$13,489.63
Typical High
$13,489.63
Molina
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$575.44
Typical High
$5,888.44
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$1,548.82
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,548.82
Typical High
$1,621.81
MountainHealth Co-op
Setting
Professional
Modifier
RR · Rental
Typical Low
$933.25
Median
$1,122.02
Typical High
$1,288.25
Regence BlueShield
Setting
Facility
Modifier
RR · Rental
Typical Low
$1,148.15
Median
$1,174.90
Typical High
$1,778.28
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$9,120.11
Select Health
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,819.70
Typical High
$8,317.64
Select Health
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,621.81
Typical High
$8,317.64
United
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$3,388.44
Typical High
$5,370.32
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$478.63
Median
$512.86
Typical High
$812.83

Where Idaho 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.

Idaho· 45th of 51

$5,623

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.