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Wisconsin 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?

$8,128

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $8,128 for this service. The price depends on where it is billed: about $8,128 from a physician practice, and about $8,128 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 9 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$8,128$6,607 to $11,482
FacilityA hospital or hospital-owned outpatient department$8,128$3,236 to $12,303

How much rates vary

Facilitymedian $8,128 · 10th to 90th $537 to $22,387Professionalmedian $8,128 · 10th to 90th $2,692 to $14,125
$100$500$2K$10K$50Kfacility $8,128professional $8,128

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
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$8,128.31
Median
$8,128.31
Typical High
$8,128.31
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$22,387.21
Typical High
$22,387.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$8,912.51
Median
$12,302.69
Typical High
$15,488.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$63,095.73
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$15,135.61
Typical High
$23,988.33
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$8,128.31
Typical High
$9,772.37
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$8,128.31
Typical High
$12,022.64
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$4,073.80
Typical High
$7,585.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$275.42
Typical High
$6,025.60
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$8,128.31
Typical High
$9,772.37
Prevea360
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,148.15
Median
$2,290.87
Typical High
$2,691.53
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$7,413.10
Typical High
$8,128.31
Quartz
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$6,309.57
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$1,380.38
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$4,073.80
Typical High
$8,317.64

Where Wisconsin 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.

Wisconsin· 7th of 51

$8,128

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.