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Monthly Kidney Care Management For Home Dialysis (Youth)

Florida rates for HCPCS 90965

This covers a physician's monthly management fee for overseeing the care of a child or teenager on home dialysis. It reflects ongoing oversight — reviewing the dialysis plan and adjusting treatment — provided over the course of a full month. This is a management fee for physician oversight rather than the dialysis treatment itself.

Rates data updated July 2026.

How much does Monthly Kidney Care Management For Home Dialysis (Youth) cost?

$479

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $479 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $851 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$479$427 to $537
FacilityA hospital or hospital-owned outpatient department$851$389 to $871

How much rates vary

Facilitymedian $851 · 10th to 90th $339 to $1,349Professionalmedian $479 · 10th to 90th $363 to $646
$50$100$200$500$1Kfacility $851professional $479

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
Professional
Modifier
Global
Typical Low
$371.54
Median
$478.63
Typical High
$616.60
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$467.74
Typical High
$512.86
AvMed
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$338.84
Typical High
$354.81
AvMed
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$478.63
Typical High
$549.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$588.84
Typical High
$1,000.00
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$436.52
Typical High
$645.65
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$36.31
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$549.54
Typical High
$870.96
United
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$478.63
Typical High
$831.76
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$537.03

Where Florida sits

The same service costs 2.6 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.

Florida· 48th of 51

$479

MN $1,122VT $427

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.