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Minnesota 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?

$11,220

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $11,220 for this service. The price depends on where it is billed: about $11,749 from a physician practice, and about $10,000 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$11,749$4,365 to $12,882
FacilityA hospital or hospital-owned outpatient department$10,000$8,318 to $20,893

How much rates vary

Facilitymedian $10,000 · 10th to 90th $8,128 to $45,709Professionalmedian $11,749 · 10th to 90th $3,802 to $14,125
$2K$5K$10K$20K$50K$100Kfacility $10,000professional $11,749

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
$8,317.64
Median
$8,317.64
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
None
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,317.64
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$12,589.25
Typical High
$19,498.45
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$10,471.29
Median
$12,882.50
Typical High
$12,882.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,413.10
Median
$41,686.94
Typical High
$104,712.85
Cigna
Setting
Professional
Modifier
None
Typical Low
$12,589.25
Median
$14,125.38
Typical High
$17,782.79
Health Partners
Setting
Facility
Modifier
None
Typical Low
$26,302.68
Median
$41,686.94
Typical High
$100,000.00
Health Partners
Setting
Professional
Modifier
None
Typical Low
$12,022.64
Median
$14,125.38
Typical High
$14,125.38
Medica
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$8,128.31
Typical High
$12,022.64
Medica
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$7,079.46
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$478.63
Median
$575.44
Typical High
$1,047.13
United
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$11,748.98
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$478.63
Median
$575.44
Typical High
$1,778.28
2 more rates 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
Facility
Modifier
UE · Used equipment
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95

Where Minnesota 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.

Minnesota· 3rd of 51

$11,220

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.