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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 July 2026.

How much does HCPCS K0859 cost?

$6,761

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $6,761 for this service. The price depends on where it is billed: about $7,079 from a physician practice, and about $5,623 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 8 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$7,079$4,169 to $10,233
FacilityA hospital or hospital-owned outpatient department$5,623$1,175 to $7,586

How much rates vary

Facilitymedian $5,623 · 10th to 90th $1,175 to $9,550Professionalmedian $7,079 · 10th to 90th $1,288 to $13,490
$500$1K$2K$5K$10Kfacility $5,623professional $7,079

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
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$7,079.46
Typical High
$13,489.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$11,748.98
Typical High
$13,182.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$8,709.64
Typical High
$9,120.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,762.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$6,309.57
Typical High
$7,413.10
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$6,025.60
Typical High
$9,772.37
Molina
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$5,888.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$8,511.38
Median
$8,511.38
Typical High
$9,120.11
Select Health
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$8,317.64
Select Health
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,621.81
Typical High
$8,317.64
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$812.83
Typical High
$5,128.61
United
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,388.44
Typical High
$5,370.32

Where Idaho 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.

Idaho· 30th 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.