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Monthly Kidney Failure Care Management For A Younger Patient

Oklahoma rates for HCPCS 90959

This covers a physician's ongoing monthly management of a child or teenager with kidney failure who is on dialysis, including overseeing the dialysis plan, reviewing lab results, and adjusting treatment over the course of a month. It reflects a month in which the physician had a certain number of in-person visits with the patient as part of that oversight. This is a management fee for physician oversight rather than the dialysis treatment itself.

Rates data updated July 2026.

How much does Monthly Kidney Failure Care Management For A Younger Patient cost?

$316

Typical physician fee. In Oklahoma, July 2026.

Insurers have agreed to pay about $316 for this service. Most negotiated rates run $295 to $407.

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.

How much rates vary

Facilitymedian $347 · 10th to 90th $275 to $631Professionalmedian $316 · 10th to 90th $245 to $468
$500$1K$2Kfacility $347professional $316

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$302.00
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$398.11
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$363.08
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$346.74
Typical High
$630.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$316.23
Typical High
$512.86

Where Oklahoma sits

The same service costs 2.5 times more in Minnesota than in Vermont. 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.

Oklahoma· 40th of 51

$316

MN $741VT $295

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.