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Power Wheelchair, Group 4 Standard, Single Power Option

Idaho rates for HCPCS K0877

Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Rates data updated October 2026.

How much does Power Wheelchair, Group 4 Standard, Single Power Option cost?

$5,129

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $5,129 for this service. The price depends on where it is billed: about $5,129 from a physician practice, and about $5,129 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$5,129$1,259 to $53,703
FacilityA hospital or hospital-owned outpatient department$5,129$1,698 to $5,129

How much rates vary

Facilitymedian $5,129 · 10th to 90th $1,000 to $7,586Professionalmedian $5,129 · 10th to 90th $1,202 to $56,234
$1K$2K$5K$10K$20K$50Kfacility $5,129professional $5,129

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$954.99
Median
$1,819.70
Typical High
$81,283.05
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$1,202.26
Median
$1,819.70
Typical High
$56,234.13
BCBS Idaho
Setting
Professional
Modifier
RR · Rental
Typical Low
$1,202.26
Median
$1,258.93
Typical High
$1,258.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Cigna
Setting
Professional
Modifier
None
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Moda Health
Setting
Facility
Modifier
None
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$7,413.10
Moda Health
Setting
Professional
Modifier
None
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Molina
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Select Health
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$1,698.24
Typical High
$2,398.83

Where Idaho sits

The same service costs 234422.9 times more in South Dakota than in Louisiana. 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.

Idaho· 33rd of 50

$5,129

SD $7,079LA $0.03

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.