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Monthly Kidney Disease Management, Adult Patient

New Mexico 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 $347 · 10th–90th $269$5250%10%20%10th90th$347Professionalmedian $302 · 10th–90th $209$4470%10%20%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
Facility
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
Aetna
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$302.00
Typical High
$501.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$281.84
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$346.74
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$416.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$346.74
Typical High
$524.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$645.65
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$331.13
Typical High
$489.78