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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 October 2026.

How much does HCPCS K0859 cost?

$8,913

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $8,913 for this service. The price depends on where it is billed: about $8,913 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$8,913$6,457 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 $1,820 to $8,913Professionalmedian $8,913 · 10th to 90th $4,074 to $9,550
$1K$2K$5K$10K$20Kfacility $7,413professional $8,913

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$7,585.78
Median
$7,585.78
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
None
Typical Low
$6,918.31
Median
$7,585.78
Typical High
$9,120.11
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$5,248.07
Median
$5,623.41
Typical High
$6,918.31
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$17,378.01
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$6,606.93
Median
$8,912.51
Typical High
$9,772.37
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$891.25
Median
$891.25
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$7,413.10
CareSource
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$1,819.70
Typical High
$23,442.29
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
$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
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$2,089.30
Typical High
$2,290.87
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
RR · Rental
Typical Low
$724.44
Median
$1,071.52
Typical High
$1,348.96
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$3,981.07
Typical High
$6,760.83
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$338.84
Median
$575.44
Typical High
$933.25

Where Indiana 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.

Indiana· 9th of 51

$8,913

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.