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Monthly Kidney Care Management For Home Dialysis (Youth)

Maine 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 physician fee. In Maine, July 2026.

Insurers have agreed to pay about $646 for this service. Most negotiated rates run $479 to $1,047.

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

Professionalmedian $646 · 10th to 90th $447 to $1,445
$500$1K$2Kprofessional $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
Professional
Modifier
Global
Typical Low
$389.05
Median
$467.74
Typical High
$537.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$645.65
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$588.84
Typical High
$1,122.02
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$1,000.00
Typical High
$1,621.81
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$478.63
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$676.08
Typical High
$1,445.44

Where Maine 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.

Maine· 9th 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.