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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 July 2026.

How much does HCPCS K0859 cost?

$7,943

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $7,943 for this service. The price depends on where it is billed: about $9,333 from a physician practice, and about $3,020 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9,333$6,457 to $9,333
FacilityA hospital or hospital-owned outpatient department$3,020$676 to $7,413

How much rates vary

Facilitymedian $3,020 · 10th to 90th $389 to $9,333Professionalmedian $9,333 · 10th to 90th $3,802 to $9,550
$500$1K$2K$5K$10K$20K$50Kfacility $3,020professional $9,333

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$9,332.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$9,332.54
Typical High
$9,549.93
BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$46,773.51
Typical High
$46,773.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9,549.93
Median
$12,589.25
Typical High
$12,589.25
CareSource
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$10,715.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$7,413.10
Typical High
$14,125.38
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$4,365.16
Median
$7,585.78
Typical High
$18,620.87
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$10,000.00
Median
$10,000.00
Typical High
$14,125.38
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$1,230.27
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,801.89
Typical High
$6,760.83

Where Michigan 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.

Michigan· 9th of 51

$7,943

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.