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Monthly Kidney Care Management, Limited In-Person Visits

Colorado rates for HCPCS 90962

A physician or other clinician provides ongoing monthly management of a patient's kidney-related care, including reviewing overall health status and coordinating treatment, for a month in which the patient was seen in person less often than the standard full monthly bundle of visits. This covers the physician's oversight work for that month rather than the dialysis treatments themselves. It applies to adult patients receiving this type of outpatient kidney disease management.

Rates data updated October 2026.

How much does Monthly Kidney Care Management, Limited In-Person Visits cost?

$269

Typical negotiated rate. In Colorado, October 2026.

Insurers have agreed to pay about $269 for this service. The price depends on where it is billed: about $269 from a physician practice, and about $224 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$269$224 to $339
FacilityA hospital or hospital-owned outpatient department$224$219 to $302

How much rates vary

Facilitymedian $224 · 10th to 90th $178 to $407Professionalmedian $269 · 10th to 90th $200 to $407
$200$500facility $224professional $269

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Aetna
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$223.87
Typical High
$263.03
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$223.87
Median
$302.00
Typical High
$426.58
Cigna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$229.09
Typical High
$338.84
Denver HMP
Setting
Facility
Modifier
None
Typical Low
$208.93
Median
$245.47
Typical High
$316.23
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$309.03
Typical High
$489.78
Select Health
Setting
Facility
Modifier
None
Typical Low
$177.83
Median
$218.78
Typical High
$467.74
Select Health
Setting
Professional
Modifier
None
Typical Low
$169.82
Median
$218.78
Typical High
$346.74
United
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$229.09
Typical High
$354.81

Where Colorado sits

The same service costs 3.1 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Colorado· 15th of 51

$269

AK $501NY $162

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.