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Monthly Dialysis-Related Physician Care, Adult

West Virginia rates for HCPCS 90966

Ongoing physician management of a person's kidney disease and home dialysis care for a full calendar month, for patients age 20 and older. It covers regular check-ins, care planning, and oversight of the dialysis regimen rather than the dialysis treatment itself.

Rates data updated July 2026.

How much does Monthly Dialysis-Related Physician Care, Adult cost?

$288

Typical physician fee. In West Virginia, July 2026.

Insurers have agreed to pay about $288 for this service. Most negotiated rates run $251 to $331.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $372 · 10th to 90th $275 to $525Professionalmedian $288 · 10th to 90th $209 to $490
$100.0$200.0$500.0$1.0Kfacility $372professional $288

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
$208.93
Median
$288.40
Typical High
$512.86
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$104.71
Median
$141.25
Typical High
$165.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$309.03
Typical High
$389.05
CareSource
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$295.12
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$346.74
Typical High
$1,479.11
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$354.81
Typical High
$549.54
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$257.04
Typical High
$380.19

Where West Virginia sits

The same service costs 2.2 times more in Minnesota than in Vermont. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $288 · 30th of 51
MN $513VT $234

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.