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Missouri 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?

$6,310

Typical negotiated rate. In Missouri, October 2026.

Insurers have agreed to pay about $6,310 for this service. The price depends on where it is billed: about $6,310 from a physician practice, and about $7,413 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6,310$4,677 to $8,913
FacilityA hospital or hospital-owned outpatient department$7,413$6,457 to $8,511

How much rates vary

Facilitymedian $7,413 · 10th to 90th $4,571 to $9,772Professionalmedian $6,310 · 10th to 90th $3,715 to $9,550
$100$500$2K$10Kfacility $7,413professional $6,310

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
$5,495.41
Median
$8,511.38
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$3,715.35
Median
$6,456.54
Typical High
$7,762.47
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$4,677.35
Median
$8,511.38
Typical High
$9,549.93
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$467.74
Median
$891.25
Typical High
$954.99
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$4,466.84
Median
$6,760.83
Typical High
$7,244.36
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
$6,309.57
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$630.96
Median
$630.96
Typical High
$741.31
Medica
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$8,128.31
Typical High
$9,772.37
Medica
Setting
Facility
Modifier
RR · Rental
Typical Low
$2,454.71
Median
$5,623.41
Typical High
$5,623.41
Medica
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$4,073.80
Typical High
$6,760.83
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$354.81
Median
$588.84
Typical High
$977.24
United
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$3,981.07
Typical High
$6,918.31
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$354.81
Median
$575.44
Typical High
$1,023.29

Where Missouri 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.

Missouri· 41st of 51

$6,310

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.