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Maine 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?

$7,244

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $7,244 for this service. Most negotiated rates run $7,244 to $8,913.

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.

How much rates vary

Facilitymedian $5,370 · 10th to 90th $603 to $7,413Professionalmedian $7,244 · 10th to 90th $5,754 to $10,715
$1K$2K$5K$10Kfacility $5,370professional $7,244

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. 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
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$8,912.51
Typical High
$8,912.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$7,413.10
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$10,715.19
Typical High
$10,715.19
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
United
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$812.83
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$8,317.64
Typical High
$10,715.19

Where Maine 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.

Maine· 17th of 51

$7,244

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.