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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 July 2026.

How much does HCPCS K0859 cost?

$9,550

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $9,550 for this service. The price depends on where it is billed: about $9,550 from a physician practice, and about $4,266 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$9,550$3,981 to $9,550
FacilityA hospital or hospital-owned outpatient department$4,266$1,230 to $8,318

How much rates vary

Facilitymedian $4,266 · 10th to 90th $589 to $8,318Professionalmedian $9,550 · 10th to 90th $3,715 to $9,550
$500$1K$2K$5K$10Kfacility $4,266professional $9,550

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
$3,715.35
Median
$9,549.93
Typical High
$9,549.93
BCBS
Setting
Professional
Modifier
Global
Typical Low
$10,471.29
Median
$11,220.18
Typical High
$11,748.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$17,378.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,128.31
Typical High
$11,220.18
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,073.80
Typical High
$6,025.60
United
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,230.27
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,981.07
Typical High
$6,309.57

Where Nebraska 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.

Nebraska· 2nd of 51

$9,550

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.