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Monthly Kidney Failure Care For A Baby Under Two

Michigan rates for HCPCS 90951

Covers a full calendar month of management by a physician or other qualified health professional for a baby under two years old who has kidney failure and is on dialysis, with four or more face-to-face visits during that month. It takes in checking that dialysis is doing its job, reviewing blood results and medicines, and following feeding, growth and development closely. Counselling the parents is part of the service.

Rates data updated October 2026.

How much does Monthly Kidney Failure Care For A Baby Under Two cost?

$1,318

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $1,318 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $1,445 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,318$1,072 to $1,820
FacilityA hospital or hospital-owned outpatient department$1,445$1,445 to $1,445

How much rates vary

Facilitymedian $1,445 · 10th to 90th $1,349 to $2,692Professionalmedian $1,318 · 10th to 90th $912 to $1,950
$1K$2Kfacility $1,445professional $1,318

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
$1,288.25
Median
$1,288.25
Typical High
$1,348.96
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,318.26
Typical High
$1,318.26
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$1,737.80
Median
$1,819.70
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,122.02
Typical High
$1,995.26
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$2,691.53
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,202.26
Typical High
$1,380.38
Priority Health
Setting
Professional
Modifier
None
Typical Low
$851.14
Median
$1,096.48
Typical High
$1,513.56
United
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,047.13
Typical High
$1,174.90

Where Michigan sits

The same service costs 3.2 times more in Alaska than in New York. 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.

Michigan· 22nd of 51

$1,318

AK $2,692NY $851

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.