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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 July 2026.

How much does HCPCS K0859 cost?

$6,918

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $6,918 for this service. The price depends on where it is billed: about $7,413 from a physician practice, and about $5,623 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 5 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$7,413$5,495 to $8,511
FacilityA hospital or hospital-owned outpatient department$5,623$1,230 to $8,128

How much rates vary

Facilitymedian $5,623 · 10th to 90th $603 to $8,511Professionalmedian $7,413 · 10th to 90th $4,169 to $8,913
$500$1K$2K$5K$10Kfacility $5,623professional $7,413

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
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$7,943.28
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$8,511.38
Typical High
$9,772.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$11,220.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$7,413.10
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$7,585.78
Typical High
$10,232.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,073.80
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,230.27
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$4,073.80
Typical High
$6,918.31

Where Missouri 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.

Missouri· 26th of 51

$6,918

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.