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Maryland 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 Maryland, October 2026.

Insurers have agreed to pay about $7,413 for this service. Most negotiated rates run $5,129 to $8,511.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,413 · 10th to 90th $7,413 to $7,413Professionalmedian $7,413 · 10th to 90th $3,981 to $8,511
$5K$10Kfacility $7,413professional $7,413

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
Professional
Modifier
None
Typical Low
$4,570.88
Median
$6,165.95
Typical High
$7,943.28
CareFirst
Setting
Professional
Modifier
None
Typical Low
$8,128.31
Median
$8,511.38
Typical High
$8,511.38
CareFirst
Setting
Professional
Modifier
RR · Rental
Typical Low
$812.83
Median
$851.14
Typical High
$851.14
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
$6,309.57
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$630.96
Median
$630.96
Typical High
$741.31
Johns Hopkins Employer Health Plan
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
United
Setting
Professional
Modifier
None
Typical Low
$2,818.38
Median
$4,073.80
Typical High
$6,606.93
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$281.84
Median
$602.56
Typical High
$891.25
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$10,471.29
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
$4,677.35
Median
$4,677.35
Typical High
$6,025.60

Where Maryland 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.

Maryland· 23rd 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.