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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 October 2026.

How much does HCPCS K0859 cost?

$8,318

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $8,318 for this service. Most negotiated rates run $6,310 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 $7,413 · 10th to 90th $7,413 to $8,128Professionalmedian $8,913 · 10th to 90th $3,802 to $8,913
$5K$10Kfacility $7,413professional $8,913

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
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$5,754.40
Median
$8,912.51
Typical High
$8,912.51
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$870.96
Median
$891.25
Typical High
$954.99
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$5,011.87
Median
$6,760.83
Typical High
$6,760.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$6,309.57
Median
$7,413.10
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$4,073.80
Typical High
$10,715.19
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
United
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$3,981.07
Typical High
$9,332.54

Where Maine 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.

Maine· 12th of 51

$8,318

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.