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Monthly Kidney Disease Management, Adult Patient

Connecticut 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 $741 · 10th–90th $741$7410%50%100%$741Professionalmedian $309 · 10th–90th $219$8320%10%10th90th$309$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$302.00
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$416.87
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$346.74
Typical High
$758.58
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$616.60
Health New England
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$478.63
Typical High
$489.78
United
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$389.05
Typical High
$758.58