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Power Wheelchair, Group 5 Pediatric, Multiple Power Option

Tennessee 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 July 2026.

How much does Power Wheelchair, Group 5 Pediatric, Multiple Power Option cost?

$13,490

Typical facility fee. In Tennessee, July 2026.

Insurers have agreed to pay about $13,490 for this service. Most negotiated rates run $13,490 to $13,490.

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 $11,749 · 10th to 90th $100 to $13,490Professionalmedian $13,490 · 10th to 90th $13,490 to $13,490
$100.0$500.0$2.0K$10.0Kfacility $11,749professional $13,490

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$13,489.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$13,489.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$13,489.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$9,772.37
Typical High
$11,748.98
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$10,964.78

Where Tennessee sits

The same service costs 2.8 times more in Mississippi than in Kansas. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Tennessee $13,490 · 10th of 51
MS $16,218KS $5,754

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.