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Power Wheelchair, Group 5 Pediatric, Single Power Option

Utah 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 October 2026.

How much does Power Wheelchair, Group 5 Pediatric, Single Power Option cost?

$5,495

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $5,495 for this service. The price depends on where it is billed: about $5,495 from a physician practice, and about $5,495 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5,495$5,495 to $7,079
FacilityA hospital or hospital-owned outpatient department$5,495$5,495 to $7,079

How much rates vary

Facilitymedian $5,495 · 10th to 90th $5,495 to $7,079Professionalmedian $5,495 · 10th to 90th $2,512 to $7,079
$50$200$1K$5Kfacility $5,495professional $5,495

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$7,079.46
Cigna
Setting
Professional
Modifier
None
Typical Low
$6,025.60
Median
$7,079.46
Typical High
$7,585.78
Molina
Setting
Professional
Modifier
None
Typical Low
$44.67
Median
$44.67
Typical High
$60.26
Select Health
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
None
Typical Low
$2,511.89
Median
$5,011.87
Typical High
$7,943.28

Where Utah sits

The same service costs 144.5 times more in Maryland than in Montana. 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.

Utah· 47th of 51

$5,495

MD $11,482MT $79.43

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.