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Monthly Kidney Disease Management, Adult Patient

Colorado rates for HCPCS 90961

This covers a month of ongoing outpatient management for an adult with end-stage kidney disease, including a defined number of in-person check-ins with the treating clinician during that month along with related care coordination. It reflects one of several tiers of this monthly service that differ by how many in-person visits occurred.

Rates data updated July 2026.

Facilitymedian $363 · 10th–90th $269$5500%10%10th90th$363Professionalmedian $302 · 10th–90th $186$5010%10%10th90th$302$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$288.40
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$346.74
Typical High
$524.81
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$363.08
Typical High
$549.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$446.68
Typical High
$758.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
Select Health
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$302.00
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$389.05
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$331.13
Typical High
$549.54