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Power Wheelchair, Group 4 Standard, Single Power Option

Texas 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 negotiated rate. In Texas, July 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. 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 8 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$5,129$5,129 to $5,129
FacilityA hospital or hospital-owned outpatient department$5,129$5,129 to $5,129

How much rates vary

Facilitymedian $5,129 · 10th to 90th $100 to $7,586Professionalmedian $5,129 · 10th to 90th $5,129 to $5,129
$50.0$200.0$1.0K$5.0Kfacility $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. 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
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$16,595.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$7,079.46
Typical High
$16,595.87
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$7,585.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$275.42
Typical High
$323.59
Providence
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$7,585.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$16,595.87
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$398.11
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$5,248.07

Where Texas 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.

Texas $5,129 · 17th 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.