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South Carolina 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?

$6,761

Typical negotiated rate. In South Carolina, July 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 $4,467 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$6,761$6,761 to $8,511
FacilityA hospital or hospital-owned outpatient department$4,467$1,230 to $7,413

How much rates vary

Facilitymedian $4,467 · 10th to 90th $562 to $8,318Professionalmedian $6,761 · 10th to 90th $3,715 to $8,511
$500$1K$2K$5K$10Kfacility $4,467professional $6,761

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
$6,760.83
Median
$8,511.38
Typical High
$8,511.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$7,413.10
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$7,413.10
Typical High
$14,125.38
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$7,079.46
Typical High
$8,511.38
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$2,344.23
Typical High
$4,365.16
United
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$1,230.27
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,630.78
Typical High
$6,025.60

Where South Carolina 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.

South Carolina· 29th of 51

$6,761

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.