go back

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 July 2026.

How much does HCPCS K0859 cost?

$8,318

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $8,318 for this service. The price depends on where it is billed: about $8,318 from a physician practice, and about $5,754 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$8,318$8,128 to $11,220
FacilityA hospital or hospital-owned outpatient department$5,754$851 to $8,128

How much rates vary

Facilitymedian $5,754 · 10th to 90th $603 to $14,125Professionalmedian $8,318 · 10th to 90th $3,236 to $14,125
$1K$2K$5K$10K$20Kfacility $5,754professional $8,318

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8,317.64
Median
$11,220.18
Typical High
$11,220.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14,125.38
Median
$14,125.38
Typical High
$17,378.01
Medica
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$8,128.31
Typical High
$22,908.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,981.07
Typical High
$6,760.83
United
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$851.14
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$3,235.94
Typical High
$8,317.64
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$11,220.18

Where South Dakota 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 Dakota· 5th of 51

$8,318

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.