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New Mexico 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 Mexico, July 2026.

Insurers have agreed to pay about $5,623 for this service. The price depends on where it is billed: about $5,623 from a physician practice, and about $4,571 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$5,623$5,129 to $7,586
FacilityA hospital or hospital-owned outpatient department$4,571$2,884 to $6,607

How much rates vary

Facilitymedian $4,571 · 10th to 90th $479 to $7,586Professionalmedian $5,623 · 10th to 90th $2,884 to $7,586
$500$1K$2K$5K$10Kfacility $4,571professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$7,585.78
Typical High
$7,585.78
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
$851.14
Median
$6,309.57
Typical High
$7,413.10
Molina
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,819.70
Typical High
$9,332.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$6,309.57
Typical High
$9,332.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$6,309.57
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$812.83
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,388.44
Typical High
$5,370.32

Where New Mexico 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 Mexico· 41st 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.