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Power Wheelchair, Group 5 Pediatric, Multiple Power Option

Iowa 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?

$13,804

Typical facility fee. In Iowa, October 2026.

Insurers have agreed to pay about $13,804 for this service. Most negotiated rates run $12,589 to $16,218.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $13,490 · 10th to 90th $11,749 to $22,909Professionalmedian $14,454 · 10th to 90th $11,749 to $16,218
$100$500$2K$10Kfacility $13,490professional $14,454

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
$16,218.10
Median
$16,218.10
Typical High
$16,218.10
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
$10,232.93
Median
$12,302.69
Typical High
$12,302.69
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
$11,748.98
Median
$11,748.98
Typical High
$14,454.40
Medica
Setting
Facility
Modifier
None
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$22,908.68

Where Iowa 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.

Iowa· 3rd of 51

$13,804

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.