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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 July 2026.

How much does HCPCS K0859 cost?

$5,623

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $5,623 for this service. Most negotiated rates run $3,981 to $7,244.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $2,630 · 10th to 90th $407 to $8,318Professionalmedian $5,623 · 10th to 90th $3,311 to $9,120
$500$1K$2K$5K$10Kfacility $2,630professional $5,623

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
$3,311.31
Median
$5,623.41
Typical High
$9,120.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$14,125.38
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$8,128.31
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$1,230.27
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,981.07
Typical High
$5,011.87

Where New Jersey 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.

New Jersey· 42nd of 51

$5,623

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.