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New Jersey 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?

$6,310

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $6,310 for this service. Most negotiated rates run $3,981 to $8,128.

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.

How much rates vary

Facilitymedian $7,413 · 10th to 90th $3,090 to $7,413Professionalmedian $6,310 · 10th to 90th $3,090 to $8,128
$5K$10Kfacility $7,413professional $6,310

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
$3,090.30
Median
$3,090.30
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$3,090.30
Typical High
$7,079.46
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$5,370.32
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
$6,309.57
Median
$7,413.10
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$630.96
Median
$630.96
Typical High
$741.31
Emblem Health
Setting
Professional
Modifier
RR · Rental
Typical Low
$812.83
Median
$1,096.48
Typical High
$1,148.15
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$5,495.41
Median
$8,128.31
Typical High
$8,128.31
Horizon BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$549.54
Median
$812.83
Typical High
$812.83
United
Setting
Professional
Modifier
None
Typical Low
$2,570.40
Median
$4,073.80
Typical High
$8,317.64
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$389.05
Median
$602.56
Typical High
$1,230.27

Where New Jersey 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.

New Jersey· 37th of 51

$6,310

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.