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Nebraska 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?

$10,715

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $10,715 for this service. The price depends on where it is billed: about $10,965 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10,965$4,074 to $11,749
FacilityA hospital or hospital-owned outpatient department$7,413$6,607 to $10,000

How much rates vary

Facilitymedian $7,413 · 10th to 90th $4,677 to $12,589Professionalmedian $10,965 · 10th to 90th $3,090 to $12,023
$2K$5K$10Kfacility $7,413professional $10,965

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
$12,589.25
Median
$12,589.25
Typical High
$12,589.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$9,549.93
Median
$12,589.25
Typical High
$12,589.25
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$10,964.78
Median
$11,748.98
Typical High
$12,022.64
BCBS Nebraska
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,096.48
Median
$1,174.90
Typical High
$1,202.26
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
$7,413.10
Median
$7,413.10
Typical High
$17,378.01
Medica
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$7,413.10
Typical High
$11,220.18
Medica
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$4,073.80
Typical High
$6,025.60
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$354.81
Median
$602.56
Typical High
$812.83
Midlands
Setting
Professional
Modifier
RR · Rental
Typical Low
$2,570.40
Median
$2,570.40
Typical High
$2,570.40
United
Setting
Professional
Modifier
None
Typical Low
$2,884.03
Median
$4,073.80
Typical High
$5,370.32
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$389.05
Median
$575.44
Typical High
$812.83

Where Nebraska 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.

Nebraska· 4th of 51

$10,715

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.