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Power Wheelchair, Group 5 Pediatric, Single Power Option

South Dakota 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 $17,783 · 10th–90th $7,079$28,8400%20%10th90th$17,783Professionalmedian $7,943 · 10th–90th $7,079$10,4710%20%10th90th$7,943$1.0K$2.0K$5.0K$10.0K$20.0K

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

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$10,471.29
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
$7,079.46
Median
$7,244.36
Typical High
$8,912.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$28,840.32
United
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$912.01
Typical High
$1,148.15