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Power Wheelchair, Group 5 Pediatric, Single Power Option

North Carolina rates for HCPCS K0890

Power wheelchair, group 5 pediatric, single power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds

Rates data updated July 2026.

Facilitymedian $7,943 · 10th–90th $100$8,7100%50%10th90th$7,943Professionalmedian $7,943 · 10th–90th $7,943$7,9430%50%$7,943$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$7,079.46
Typical High
$7,585.78
Medcost
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$9,549.93
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00