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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 October 2026.

How much does HCPCS K0859 cost?

$6,761

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $6,761 for this service. The price depends on where it is billed: about $6,026 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6,026$3,388 to $6,761
FacilityA hospital or hospital-owned outpatient department$7,413$6,761 to $7,413

How much rates vary

Facilitymedian $7,413 · 10th to 90th $6,457 to $8,511Professionalmedian $6,026 · 10th to 90th $2,692 to $7,413
$500$1K$2K$5K$10Kfacility $7,413professional $6,026

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
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
Aetna
Setting
Professional
Modifier
None
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
BCBS South Carolina
Setting
Facility
Modifier
RR · Rental
Typical Low
$1,122.02
Median
$1,230.27
Typical High
$1,230.27
BCBS South Carolina
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$7,413.10
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
None
Typical Low
$6,309.57
Median
$7,413.10
Typical High
$7,413.10
Medcost
Setting
Professional
Modifier
RR · Rental
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Medcost
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$7,079.46
Typical High
$8,511.38
Medcost
Setting
Professional
Modifier
None
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,918.31
Molina
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$2,344.23
Typical High
$4,365.16
United
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$3,388.44
Typical High
$4,897.79
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$354.81
Median
$489.78
Typical High
$645.65
1 more rate with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87

Where South Carolina 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.

South Carolina· 29th 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.