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Monthly Kidney Care Management For Home Dialysis (Youth)

Michigan 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?

$513

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $589 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 6 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$513$468 to $589
FacilityA hospital or hospital-owned outpatient department$589$589 to $589

How much rates vary

Facilitymedian $589 · 10th to 90th $437 to $631Professionalmedian $513 · 10th to 90th $427 to $794
$500$1Kfacility $589professional $513

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
$588.84
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$489.78
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$524.81
Typical High
$1,148.15
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$524.81
Typical High
$1,148.15
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$512.86
Typical High
$660.69
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$524.81
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$371.54
Median
$380.19
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$776.25

Where Michigan 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.

Michigan· 27th of 51

$513

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.