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Power Wheelchair, Group 5 Pediatric, Multiple Power Option

Arizona 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?

$9,772

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $9,772 for this service. The price depends on where it is billed: about $12,303 from a physician practice, and about $2,344 from a hospital or other facility.

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$12,303$10,000 to $16,218
FacilityA hospital or hospital-owned outpatient department$2,344$1,202 to $3,802

How much rates vary

Facilitymedian $2,344 · 10th to 90th $468 to $16,218Professionalmedian $12,303 · 10th to 90th $9,772 to $16,218
$100$500$2K$10Kfacility $2,344professional $12,303

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$13,489.63
Median
$16,218.10
Typical High
$16,218.10
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$12,302.69
BCBS Arizona
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$2,137.96
Typical High
$3,235.94
BCBS Arizona
Setting
Professional
Modifier
None
Typical Low
$9,120.11
Median
$12,302.69
Typical High
$15,135.61
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$11,748.98
Medica
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$16,218.10
Typical High
$17,782.79
Medica
Setting
Professional
Modifier
None
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$7,762.47

Where Arizona 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.

Arizona· 31st of 51

$9,772

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.