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South Dakota 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?

$8,128

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $8,128 for this service. The price depends on where it is billed: about $6,761 from a physician practice, and about $14,125 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$6,761$3,802 to $11,220
FacilityA hospital or hospital-owned outpatient department$14,125$7,413 to $14,125

How much rates vary

Facilitymedian $14,125 · 10th to 90th $6,457 to $22,909Professionalmedian $6,761 · 10th to 90th $3,236 to $14,125
$5K$10K$20Kfacility $14,125professional $6,761

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
$8,912.51
Median
$8,912.51
Typical High
$8,912.51
Aetna
Setting
Professional
Modifier
None
Typical Low
$8,317.64
Median
$8,317.64
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
$14,125.38
Median
$14,125.38
Typical High
$17,378.01
Medica
Setting
Facility
Modifier
None
Typical Low
$6,456.54
Median
$14,125.38
Typical High
$22,908.68
Medica
Setting
Professional
Modifier
None
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$6,760.83
Medica
Setting
Professional
Modifier
RR · Rental
Typical Low
$478.63
Median
$575.44
Typical High
$1,000.00
Midlands
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,096.48
Median
$1,096.48
Typical High
$1,096.48
United
Setting
Professional
Modifier
None
Typical Low
$2,884.03
Median
$3,801.89
Typical High
$6,760.83
United
Setting
Professional
Modifier
RR · Rental
Typical Low
$426.58
Median
$575.44
Typical High
$1,000.00
Wellmark
Setting
Professional
Modifier
None
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18
Wellmark
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02

Where South Dakota 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 Dakota· 13th of 51

$8,128

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.