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Blood Cleaning Through A Charcoal Filter

Arizona rates for HCPCS 90997

A treatment in which blood is drawn out of the body, passed through a cartridge packed with a binding material such as activated charcoal, and returned. The material traps toxins that would otherwise stay in the bloodstream.

Rates data updated July 2026.

How much does Blood Cleaning Through A Charcoal Filter cost?

$91.20

Typical negotiated rate. In Arizona, July 2026.

Insurers have agreed to pay about $91.20 for this service. The price depends on where it is billed: about $91.20 from a physician practice, and about $102 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 5 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$91.20$81.28 to $107
FacilityA hospital or hospital-owned outpatient department$102$89.13 to $141

How much rates vary

Facilitymedian $102 · 10th to 90th $81 to $191Professionalmedian $91 · 10th to 90th $76 to $132
$100.0$200.0$500.0$1.0Kfacility $102professional $91

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
$75.86
Median
$91.20
Typical High
$112.20
BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$147.91
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$81.28
Typical High
$120.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$102.33
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$186.21
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$107.15
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$70.79
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$95.50
Typical High
$154.88

Where Arizona sits

The same service costs 2.3 times more in Minnesota than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Arizona $91.20 · 37th of 51
MN $200WV $87.10

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.