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Power Wheelchair, Group 5 Pediatric, Single Power Option

Wisconsin 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$14,1250%20%10th90th$7,943Professionalmedian $7,943 · 10th–90th $7,079$9,5500%50%10th90th$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7,943.28
Median
$7,943.28
Typical High
$7,943.28
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,309.57
Median
$9,549.93
Typical High
$9,549.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$7,079.46
Typical High
$31,622.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$7,079.46
Typical High
$8,912.51
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$7,943.28
Typical High
$14,125.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$7,943.28
Typical High
$11,748.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$602.56
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$54.95
Typical High
$2,754.23
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$7,943.28
Typical High
$14,125.38
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$7,079.46
Typical High
$7,079.46
Quartz
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$7,079.46
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$912.01
Typical High
$912.01