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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 October 2026.

How much does HCPCS K0859 cost?

$5,129

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $5,129 for this service. The price depends on where it is billed: about $4,169 from a physician practice, and about $6,310 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,169$2,884 to $7,586
FacilityA hospital or hospital-owned outpatient department$6,310$4,571 to $7,413

How much rates vary

Facilitymedian $6,310 · 10th to 90th $851 to $7,586Professionalmedian $4,169 · 10th to 90th $1,202 to $9,333
$500$1K$2K$5K$10Kfacility $6,310professional $4,169

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
$5,623.41
Median
$5,623.41
Typical High
$5,623.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$7,413.10
Median
$7,585.78
Typical High
$10,715.19
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
$851.14
Median
$6,309.57
Typical High
$7,413.10
Molina
Setting
Professional
Modifier
None
Typical Low
$977.24
Median
$1,819.70
Typical High
$9,332.54
Providence
Setting
Facility
Modifier
None
Typical Low
$851.14
Median
$6,309.57
Typical High
$7,585.78
Providence
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$6,309.57
Typical High
$7,413.10
United
Setting
Professional
Modifier
None
Typical Low
$2,884.03
Median
$3,388.44
Typical High
$5,128.61
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$371.54
Median
$512.86
Typical High
$588.84

Where New Mexico 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 Mexico· 46th of 51

$5,129

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.