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Monthly Kidney Care Management, Limited In-Person Visits

Connecticut 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 July 2026.

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

$219

Typical physician fee. In Connecticut, July 2026.

Insurers have agreed to pay about $219 for this service. Most negotiated rates run $186 to $339.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $501 · 10th to 90th $501 to $501Professionalmedian $219 · 10th to 90th $158 to $575
$200$500$1Kfacility $501professional $219

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$208.93
Typical High
$616.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$309.03
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$251.19
Typical High
$524.81
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$426.58
Health New England
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$288.40
Typical High
$537.03

Where Connecticut sits

The same service costs 2.1 times more in Minnesota than in Vermont. 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.

Connecticut· 16th of 51

$219

MN $372VT $178

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.