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Indiana 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?

$7,586

Typical negotiated rate. In Indiana, July 2026.

Insurers have agreed to pay about $7,586 for this service. The price depends on where it is billed: about $7,586 from a physician practice, and about $7,413 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 5 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$7,586$6,457 to $8,913
FacilityA hospital or hospital-owned outpatient department$7,413$1,230 to $7,586

How much rates vary

Facilitymedian $7,413 · 10th to 90th $603 to $7,586Professionalmedian $7,586 · 10th to 90th $4,074 to $9,333
$500$1K$2K$5K$10K$20Kfacility $7,413professional $7,586

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
$7,585.78
Median
$7,585.78
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$7,585.78
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$8,912.51
Typical High
$13,489.63
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$23,442.29
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
$851.14
Median
$6,309.57
Typical High
$11,748.98
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,230.27
Typical High
$6,760.83
United
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,890.45
Typical High
$6,025.60

Where Indiana 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.

Indiana· 13th of 51

$7,586

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.