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North Dakota 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?

$13,804

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $13,804 for this service. The price depends on where it is billed: about $13,804 from a physician practice, and about $8,913 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$13,804$5,754 to $16,218
FacilityA hospital or hospital-owned outpatient department$8,913$8,913 to $8,913

How much rates vary

Facilitymedian $8,913 · 10th to 90th $8,128 to $13,490Professionalmedian $13,804 · 10th to 90th $3,802 to $16,218
$5K$10K$20Kfacility $8,913professional $13,804

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
Facility
Modifier
None
Typical Low
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
None
Typical Low
$8,317.64
Median
$8,912.51
Typical High
$8,912.51
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$13,803.84
Median
$16,218.10
Typical High
$16,218.10
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$16,595.87
Median
$19,498.45
Typical High
$19,498.45
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2,754.23
Median
$3,235.94
Typical High
$3,235.94
BCBS North Dakota
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,148.15
Median
$1,348.96
Typical High
$1,348.96
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
$14,125.38
Median
$14,125.38
Typical High
$17,378.01
Medica
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$8,912.51
Typical High
$15,135.61
Medica
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$5,754.40
United
Setting
Professional
Modifier
None
Typical Low
$2,691.53
Median
$3,801.89
Typical High
$5,754.40
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$398.11
Median
$575.44
Typical High
$851.14

Where North Dakota 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.

North Dakota· 1st of 51

$13,804

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.