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Power Wheelchair, Group 4 Standard, Single Power Option

North Carolina 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 July 2026.

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

$5,129

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $5,129 for this service. Most negotiated rates run $5,129 to $5,129.

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.

How much rates vary

Facilitymedian $5,129 · 10th to 90th $100 to $6,166Professionalmedian $5,129 · 10th to 90th $5,129 to $5,129
$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0Kfacility $5,129professional $5,129

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
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$7,079.46
Typical High
$10,232.93
Medcost
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$6,165.95
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00

Where North Carolina sits

The same service costs 1.7 times more in Wyoming than in Minnesota. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

North Carolina $5,129 · 30th of 50
WY $6,918MN $4,169

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.