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Monthly Kidney Disease Management, Adult Patient

Oklahoma 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 $295 · 10th–90th $240$5620%20%10th90th$295Professionalmedian $288 · 10th–90th $224$4070%10%20%10th90th$288$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
$208.93
Median
$275.42
Typical High
$380.19
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$302.00
Typical High
$512.86
BCBS
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$354.81
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$309.03
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$295.12
Typical High
$562.34
Medica
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$288.40
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$257.04
Typical High
$436.52