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Power Wheelchair, Group 5 Pediatric, Multiple Power Option

North Dakota 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?

$1,995

Typical negotiated rate. In North Dakota, October 2026.

Insurers have agreed to pay about $1,995 for this service. The price depends on where it is billed: about $1,995 from a physician practice, and about $13,490 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$1,995$1,698 to $1,995
FacilityA hospital or hospital-owned outpatient department$13,490$13,490 to $13,490

How much rates vary

Facilitymedian $13,490 · 10th to 90th $13,490 to $16,218Professionalmedian $1,995 · 10th to 90th $1,698 to $13,490
$2K$5K$10K$20Kfacility $13,490professional $1,995

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
$16,218.10
BCBS North Dakota
Setting
Professional
Modifier
None
Typical Low
$1,698.24
Median
$1,995.26
Typical High
$1,995.26
BCBS North Dakota
Setting
Professional
Modifier
22 · Increased work
Typical Low
$1,995.26
Median
$2,344.23
Typical High
$2,344.23
BCBS North Dakota
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$338.84
Median
$398.11
Typical High
$398.11
BCBS North Dakota
Setting
Professional
Modifier
RR · Rental
Typical Low
$141.25
Median
$165.96
Typical High
$165.96
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
$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 North Dakota 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.

North Dakota· 48th of 51

$1,995

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.