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Utah 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?

$4,571

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $4,571 for this service. The price depends on where it is billed: about $3,715 from a physician practice, and about $4,571 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,715$1,230 to $7,413
FacilityA hospital or hospital-owned outpatient department$4,571$4,571 to $7,413

How much rates vary

Facilitymedian $4,571 · 10th to 90th $4,571 to $7,413Professionalmedian $3,715 · 10th to 90th $871 to $8,318
$100$200$500$1K$2K$5K$10Kfacility $4,571professional $3,715

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
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$4,570.88
Median
$4,570.88
Typical High
$4,570.88
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
$7,413.10
Typical High
$14,125.38
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Regence BlueShield
Setting
Facility
Modifier
RR · Rental
Typical Low
$1,148.15
Median
$1,202.26
Typical High
$1,819.70
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$10,715.19
Median
$12,302.69
Typical High
$12,882.50
Select Health
Setting
Facility
Modifier
None
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$8,317.64
Select Health
Setting
Professional
Modifier
None
Typical Low
$870.96
Median
$1,230.27
Typical High
$8,317.64
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$758.58
Median
$1,122.02
Typical High
$8,709.64
United
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$3,388.44
Typical High
$6,760.83

Where Utah 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.

Utah· 47th of 51

$4,571

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.