go back

Ohio 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?

$6,761

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $6,761 for this service. The price depends on where it is billed: about $6,761 from a physician practice, and about $7,413 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6,761$5,370 to $8,913
FacilityA hospital or hospital-owned outpatient department$7,413$7,413 to $7,413

How much rates vary

Facilitymedian $7,413 · 10th to 90th $6,457 to $7,413Professionalmedian $6,761 · 10th to 90th $3,020 to $8,913
$500$1K$2K$5K$10K$20Kfacility $7,413professional $6,761

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$12,022.64
Aetna
Setting
Professional
Modifier
None
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$6,456.54
Aetna
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,698.24
Median
$2,137.96
Typical High
$3,019.95
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$4,897.79
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$6,606.93
Median
$8,912.51
Typical High
$11,481.54
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$676.08
Median
$891.25
Typical High
$1,548.82
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$5,011.87
Median
$6,760.83
Typical High
$6,760.83
CareSource
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$1,202.26
Typical High
$14,791.08
CareSource
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$1,096.48
Typical High
$14,791.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
RR · Rental
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Cigna
Setting
Professional
Modifier
None
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
RR · Rental
Typical Low
$630.96
Median
$630.96
Typical High
$741.31
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Medical Mutual of Ohio
Setting
Facility
Modifier
RR · Rental
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Medical Mutual of Ohio
Setting
Professional
Modifier
None
Typical Low
$6,309.57
Median
$6,309.57
Typical High
$7,413.10
Medical Mutual of Ohio
Setting
Professional
Modifier
RR · Rental
Typical Low
$630.96
Median
$630.96
Typical High
$741.31
Molina
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$1,047.13
Typical High
$5,623.41
SummaCare
Setting
Professional
Modifier
None
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,317.64
United
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$3,715.35
Typical High
$5,370.32
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$338.84
Median
$512.86
Typical High
$645.65

Where Ohio 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.

Ohio· 28th of 51

$6,761

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.