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Power Wheelchair, Group 5 Pediatric, Multiple Power Option

Alaska rates for HCPCS K0891

Power wheelchair, group 5 pediatric, multiple 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, Multiple Power Option cost?

$13,490

Typical negotiated rate. In Alaska, October 2026.

Insurers have agreed to pay about $13,490 for this service. The price depends on where it is billed: about $13,490 from a physician practice, and about $12,589 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$13,490$11,749 to $13,490
FacilityA hospital or hospital-owned outpatient department$12,589$8,128 to $13,490

How much rates vary

Facilitymedian $12,589 · 10th to 90th $7,943 to $16,218Professionalmedian $13,490 · 10th to 90th $9,772 to $13,490
$100$500$2K$10Kfacility $12,589professional $13,490

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
$13,489.63
Median
$13,489.63
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
None
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$12,589.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$9,772.37
Median
$11,748.98
Typical High
$12,589.25
Moda Health
Setting
Facility
Modifier
None
Typical Low
$7,762.47
Median
$13,489.63
Typical High
$19,498.45
Moda Health
Setting
Professional
Modifier
None
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$13,489.63
Providence
Setting
Facility
Modifier
None
Typical Low
$7,762.47
Median
$11,748.98
Typical High
$16,218.10
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$11,748.98
Typical High
$12,589.25

Where Alaska sits

The same service costs 182.0 times more in South Dakota 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.

Alaska· 7th of 51

$13,490

SD $14,454MT $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.