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West Virginia 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?

$7,413

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $7,413 for this service. The price depends on where it is billed: about $7,413 from a physician practice, and about $5,129 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 4 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$7,413$6,310 to $7,943
FacilityA hospital or hospital-owned outpatient department$5,129$1,230 to $7,244

How much rates vary

Facilitymedian $5,129 · 10th to 90th $794 to $8,128Professionalmedian $7,413 · 10th to 90th $6,166 to $7,943
$500$1K$2K$5K$10Kfacility $5,129professional $7,413

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
$6,309.57
Median
$7,413.10
Typical High
$7,943.28
CareSource
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$10,715.19
CareSource
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$851.14
Typical High
$11,481.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$6,456.54
Typical High
$8,128.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$6,309.57
Typical High
$7,413.10
United
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$812.83
Typical High
$5,370.32
United
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$4,073.80
Typical High
$6,760.83

Where West Virginia 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.

West Virginia· 16th of 51

$7,413

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.