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Kentucky 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?

$6,761

Typical negotiated rate. In Kentucky, October 2026.

Insurers have agreed to pay about $6,761 for this service. The price depends on where it is billed: about $6,761 from a physician practice, and about $6,761 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$6,761$4,571 to $8,913
FacilityA hospital or hospital-owned outpatient department$6,761$4,074 to $7,413

How much rates vary

Facilitymedian $6,761 · 10th to 90th $1,096 to $8,913Professionalmedian $6,761 · 10th to 90th $3,631 to $8,913
$100$200$500$1K$2K$5K$10Kfacility $6,761professional $6,761

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
$6,760.83
Median
$6,760.83
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
None
Typical Low
$6,456.54
Median
$8,912.51
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$4,897.79
Median
$6,606.93
Typical High
$6,606.93
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$6,760.83
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$457.09
Median
$676.08
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$5,623.41
Median
$6,760.83
Typical High
$6,760.83
CareSource
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$1,778.28
Typical High
$16,218.10
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,995.26
Typical High
$23,988.33
Cigna
Setting
Facility
Modifier
None
Typical Low
$812.83
Median
$6,456.54
Typical High
$8,128.31
Cigna
Setting
Facility
Modifier
RR · Rental
Typical Low
$251.19
Median
$1,047.13
Typical High
$1,698.24
Cigna
Setting
Professional
Modifier
None
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$630.96
Median
$741.31
Typical High
$1,000.00
Molina
Setting
Professional
Modifier
None
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$12,882.50
United
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$3,630.78
Typical High
$5,370.32
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$338.84
Median
$549.54
Typical High
$933.25

Where Kentucky 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.

Kentucky· 30th of 51

$6,761

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.