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Monthly Kidney Care Management, Limited In-Person Visits

Montana 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?

$316

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $316 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $363 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$316$240 to $324
FacilityA hospital or hospital-owned outpatient department$363$316 to $380

How much rates vary

Facilitymedian $363 · 10th to 90th $251 to $407Professionalmedian $316 · 10th to 90th $145 to $363
$100$200$500facility $363professional $316

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$204.17
Typical High
$295.12
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$281.84
Median
$316.23
Typical High
$316.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$380.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$229.09
Median
$316.23
Typical High
$316.23
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$251.19
Median
$371.54
Typical High
$407.38
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$239.88
Median
$363.08
Typical High
$389.05
Providence
Setting
Facility
Modifier
None
Typical Low
$316.23
Median
$316.23
Typical High
$380.19
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$316.23
Typical High
$323.59
United
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$295.12
Typical High
$346.74

Where Montana 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.

Montana· 9th of 51

$316

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.