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ESRD Care, Home Dialysis, Per Day (Teen)

Maine rates for HCPCS 90969

This service covers a day of physician management for a child or teenager on home dialysis for end-stage kidney disease, provided on a per-day basis rather than as a full monthly service. It is used when the patient is under a provider's care for only part of a month rather than the entire month. Home dialysis care in this age group is managed with an age-specific approach.

Rates data updated July 2026.

How much does ESRD Care, Home Dialysis, Per Day (Teen) cost?

$21.38

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $21.38 for this service. Most negotiated rates run $15.85 to $35.48.

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 $21 · 10th to 90th $15 to $48
$20$50professional $21

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
$13.18
Median
$15.85
Typical High
$18.20
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$21.88
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$20.42
Typical High
$37.15
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$33.88
Typical High
$53.70
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.85
Typical High
$18.62
United
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$22.39
Typical High
$48.98

Where Maine sits

The same service costs 2.5 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

$21.38

MN $38.02VT $15.14

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.