go back

Arizona rates for HCPCS 90997

Hemoperfusion (eg, with activated charcoal or resin)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.44 / $90.80 / $108.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.17 / $154.99 / $154.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.73 / $79.70 / $92.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.15 / $100.79 / $193.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.86 / $100.38 / $192.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.53 / $98.40 / $931.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.19 / $92.39 / $162.72