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Michigan 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?

$9,333

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $9,333 for this service. The price depends on where it is billed: about $9,333 from a physician practice, and about $16,218 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9,333$4,898 to $12,023
FacilityA hospital or hospital-owned outpatient department$16,218$7,413 to $39,811

How much rates vary

Facilitymedian $16,218 · 10th to 90th $7,413 to $56,234Professionalmedian $9,333 · 10th to 90th $3,467 to $18,621
$1K$2K$5K$10K$20K$50K$100Kfacility $16,218professional $9,333

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
$11,220.18
Median
$11,220.18
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
None
Typical Low
$10,232.93
Median
$11,481.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$8,317.64
Median
$8,511.38
Typical High
$8,511.38
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$38,018.94
Typical High
$70,794.58
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$9,120.11
Median
$12,022.64
Typical High
$12,589.25
BCBS Michigan
Setting
Professional
Modifier
RR · Rental
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
CareSource
Setting
Facility
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$10,715.19
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
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$15,135.61
Typical High
$16,218.10
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$3,467.37
Median
$9,332.54
Typical High
$18,620.87
Health Alliance Plan
Setting
Professional
Modifier
RR · Rental
Typical Low
$346.74
Median
$1,000.00
Typical High
$1,230.27
Health Alliance Plan
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$4,897.79
Median
$11,220.18
Typical High
$13,803.84
Priority Health
Setting
Facility
Modifier
None
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Priority Health
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
$2,884.03
Median
$3,715.35
Typical High
$5,370.32
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$363.08
Median
$512.86
Typical High
$676.08

Where Michigan 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.

Michigan· 7th of 51

$9,333

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.