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Monthly Kidney Care Management For Home Dialysis (Youth)

Iowa 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?

$646

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $646 for this service. The price depends on where it is billed: about $646 from a physician practice, and about $708 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$646$490 to $955
FacilityA hospital or hospital-owned outpatient department$708$562 to $1,047

How much rates vary

Facilitymedian $708 · 10th to 90th $468 to $1,148Professionalmedian $646 · 10th to 90th $468 to $1,288
$500$1K$2Kfacility $708professional $646

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$537.03
Typical High
$776.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$933.25
Typical High
$1,318.26
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$1,202.26
Typical High
$1,584.89
Medica
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$707.95
Typical High
$1,148.15
Medica
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$891.25
Typical High
$3,630.78
Midlands
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,047.13
Typical High
$1,348.96
Midlands
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$912.01
Typical High
$1,348.96
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$512.86
Median
$933.25
Typical High
$1,202.26
United
Setting
Facility
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$691.83
Typical High
$1,230.27
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$912.01
Typical High
$1,071.52

Where Iowa 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.

Iowa· 11th of 51

$646

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.