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Power Wheelchair, Group 5 Pediatric, Multiple Power Option

Wisconsin 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 negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $13,490 for this service. The price depends on where it is billed: about $13,490 from a physician practice, and about $13,490 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13,490$11,749 to $13,490
FacilityA hospital or hospital-owned outpatient department$13,490$11,749 to $13,490

How much rates vary

Facilitymedian $13,490 · 10th to 90th $100 to $24,547Professionalmedian $13,490 · 10th to 90th $6,607 to $13,490
$100$500$2K$10K$50Kfacility $13,490professional $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
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$6,606.93
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$11,748.98
Typical High
$52,480.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$11,748.98
Typical High
$14,454.40
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$13,489.63
Typical High
$24,547.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$13,489.63
Typical High
$20,417.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$2,754.23
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$13,489.63
Typical High
$24,547.09
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$11,748.98
Typical High
$11,748.98
Quartz
Setting
Professional
Modifier
Global
Typical Low
$9,772.37
Median
$11,748.98
Typical High
$11,748.98
United
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,230.27
Typical High
$1,230.27

Where Wisconsin sits

The same service costs 2.8 times more in Mississippi than in Kansas. 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.

Wisconsin· 9th of 51

$13,490

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.