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Louisiana 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?

$7,413

Typical negotiated rate. In Louisiana, October 2026.

Insurers have agreed to pay about $7,413 for this service. The price depends on where it is billed: about $8,128 from a physician practice, and about $0.02 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8,128$4,365 to $8,128
FacilityA hospital or hospital-owned outpatient department$0.02$0.02 to $7,413

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $7,413Professionalmedian $8,128 · 10th to 90th $3,020 to $8,318
$0.1$1$10$100$1K$10Kfacility $0professional $8,128

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
$7,585.78
Median
$8,709.64
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
None
Typical Low
$6,309.57
Median
$8,709.64
Typical High
$9,772.37
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
BCBS Louisiana
Setting
Professional
Modifier
None
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
BCBS Louisiana
Setting
Professional
Modifier
RR · Rental
Typical Low
$812.83
Median
$812.83
Typical High
$812.83
Christus
Setting
Facility
Modifier
RR · Rental
Typical Low
$39.81
Median
$39.81
Typical High
$39.81
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
United
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$3,801.89
Typical High
$5,370.32
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$257.04
Median
$457.09
Typical High
$707.95
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$4,786.30
Median
$6,456.54
Typical High
$7,413.10

Where Louisiana 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.

Louisiana· 22nd of 51

$7,413

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.