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Oregon 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?

$6,026

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $6,026 for this service. The price depends on where it is billed: about $6,310 from a physician practice, and about $1,202 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$6,310$3,388 to $6,607
FacilityA hospital or hospital-owned outpatient department$1,202$1,175 to $6,761

How much rates vary

Facilitymedian $1,202 · 10th to 90th $1,175 to $7,413Professionalmedian $6,310 · 10th to 90th $2,692 to $7,413
$100$200$500$1K$2K$5K$10Kfacility $1,202professional $6,310

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
Professional
Modifier
None
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$7,413.10
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
$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
Kaiser Permanente
Setting
Professional
Modifier
RR · Rental
Typical Low
$933.25
Median
$2,187.76
Typical High
$3,019.95
Moda Health
Setting
Facility
Modifier
None
Typical Low
$660.69
Median
$4,570.88
Typical High
$8,709.64
Moda Health
Setting
Professional
Modifier
None
Typical Low
$6,025.60
Median
$6,025.60
Typical High
$6,309.57
Moda Health
Setting
Professional
Modifier
RR · Rental
Typical Low
$891.25
Median
$1,174.90
Typical High
$1,258.93
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$1,174.90
Median
$1,202.26
Typical High
$6,760.83
Pacific Source
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$6,760.83
Providence
Setting
Facility
Modifier
None
Typical Low
$4,570.88
Median
$7,413.10
Typical High
$12,022.64
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$6,309.57
Typical High
$7,413.10
Providence
Setting
Professional
Modifier
RR · Rental
Typical Low
$630.96
Median
$630.96
Typical High
$1,174.90
Regence BlueShield
Setting
Facility
Modifier
RR · Rental
Typical Low
$977.24
Median
$1,905.46
Typical High
$4,677.35
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$10,715.19
Median
$12,882.50
Typical High
$13,489.63
United
Setting
Professional
Modifier
None
Typical Low
$3,090.30
Median
$3,388.44
Typical High
$6,760.83
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$398.11
Median
$512.86
Typical High
$1,000.00

Where Oregon 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.

Oregon· 44th of 51

$6,026

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.