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Monthly Kidney Failure Care For A Baby Under Two

West Virginia 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?

$1,175

Typical physician fee. In West Virginia, October 2026.

Insurers have agreed to pay about $1,175 for this service. Most negotiated rates run $933 to $1,380.

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.

How much rates vary

Facilitymedian $1,995 · 10th to 90th $1,995 to $1,995Professionalmedian $1,175 · 10th to 90th $741 to $1,995
$1K$2K$5Kfacility $1,995professional $1,175

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
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$1,174.90
CareSource
Setting
Professional
Modifier
None
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$5,754.40
United
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$954.99
Typical High
$1,621.81

Where West Virginia 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.

West Virginia· 34th of 51

$1,175

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.