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Montana 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?

$1,549

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $1,549 for this service. The price depends on where it is billed: about $3,090 from a physician practice, and about $1,549 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$3,090$85.11 to $3,388
FacilityA hospital or hospital-owned outpatient department$1,549$1,230 to $1,549

How much rates vary

Facilitymedian $1,549 · 10th to 90th $1,230 to $7,413Professionalmedian $3,090 · 10th to 90th $79 to $7,413
$100$200$500$1K$2K$5K$10Kfacility $1,549professional $3,090

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$9,549.93
Median
$9,549.93
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
$851.14
Median
$7,413.10
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,047.13
Median
$1,258.93
Typical High
$1,258.93
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,548.82
Typical High
$1,548.82
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,380.38
Median
$1,548.82
Typical High
$1,548.82
Providence
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$7,413.10
Typical High
$9,772.37
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$7,413.10
Providence
Setting
Professional
Modifier
RR · Rental
Typical Low
$954.99
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$3,388.44
Typical High
$5,754.40
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$478.63
Median
$512.86
Typical High
$851.14

Where Montana 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.

Montana· 50th of 51

$1,549

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.