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Monthly Kidney Disease Management, Adult Patient

Hawaii 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.

Professionalmedian $251 · 10th–90th $51$3470%10%10th90th$251$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
$51.29
Median
$245.47
Typical High
$331.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$346.74
Typical High
$794.33
HMSA
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$331.13
Typical High
$371.54
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$389.05
Typical High
$537.03
United
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$309.03
Typical High
$478.63
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$263.03
Typical High
$363.08