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Power Wheelchair, Group 5 Pediatric, Multiple Power Option

New York 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?

$6,607

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $6,607 for this service. The price depends on where it is billed: about $6,607 from a physician practice, and about $11,749 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$6,607$6,607 to $7,762
FacilityA hospital or hospital-owned outpatient department$11,749$7,762 to $11,749

How much rates vary

Facilitymedian $11,749 · 10th to 90th $1,349 to $11,749Professionalmedian $6,607 · 10th to 90th $2,570 to $11,749
$2K$5K$10Kfacility $11,749professional $6,607

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
Facility
Modifier
None
Typical Low
$7,762.47
Median
$8,128.31
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
None
Typical Low
$7,762.47
Median
$7,762.47
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$10,232.93
Median
$10,232.93
Typical High
$10,232.93
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$7,079.46
Anthem BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Anthem BCBS
Setting
Professional
Modifier
UE · Used equipment
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
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
$11,748.98
Typical High
$11,748.98
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Excellus BCBS
Setting
Professional
Modifier
RR · Rental
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Univera
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Univera
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$1,348.96
Univera
Setting
Professional
Modifier
RR · Rental
Typical Low
$134.90
Median
$134.90
Typical High
$134.90

Where New York 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.

New York· 45th of 51

$6,607

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.