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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 July 2026.

How much does HCPCS K0859 cost?

$6,457

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $6,457 for this service. The price depends on where it is billed: about $6,457 from a physician practice, and about $2,818 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 6 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$6,457$6,310 to $7,586
FacilityA hospital or hospital-owned outpatient department$2,818$676 to $6,457

How much rates vary

Facilitymedian $2,818 · 10th to 90th $398 to $8,128Professionalmedian $6,457 · 10th to 90th $5,248 to $7,762
$500$1K$2K$5K$10K$20Kfacility $2,818professional $6,457

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
$5,248.07
Median
$5,248.07
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$6,456.54
Typical High
$7,762.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$6,309.57
Typical High
$8,912.51
CareSource
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,778.28
Typical High
$16,218.10
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,995.26
Typical High
$23,988.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$7,244.36
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$7,413.10
Molina
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,288.25
Typical High
$12,302.69
United
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$1,862.09
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,715.35
Typical High
$5,754.40

Where Kentucky 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.

Kentucky· 32nd of 51

$6,457

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.