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Monthly Kidney Disease Management, Adult Patient

Oregon 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 $447 · 10th–90th $282$5750%10%20%10th90th$447Professionalmedian $339 · 10th–90th $79$7590%10%10th90th$339$5.0$20.0$100.0$500.0

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
$67.61
Median
$309.03
Typical High
$691.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$524.81
Typical High
$776.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$660.69
Typical High
$776.25
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$602.56
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$562.34
Typical High
$776.25
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$478.63
Typical High
$575.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$371.54
Typical High
$602.56
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$549.54
Typical High
$776.25
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$630.96
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$457.09
Typical High
$758.58