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Power Wheelchair, Group 5 Pediatric, Multiple Power Option

Nebraska 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?

$14,125

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $14,125 for this service. The price depends on where it is billed: about $16,218 from a physician practice, and about $13,490 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$16,218$11,749 to $16,218
FacilityA hospital or hospital-owned outpatient department$13,490$11,749 to $14,125

How much rates vary

Facilitymedian $13,490 · 10th to 90th $11,749 to $23,442Professionalmedian $16,218 · 10th to 90th $8,128 to $16,218
$100$500$2K$10Kfacility $13,490professional $16,218

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
$22,387.21
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
$25,703.96
Medica
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$7,762.47
United
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25

Where Nebraska 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.

Nebraska· 2nd of 51

$14,125

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.