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Florida rates for HCPCS 90997

Hemoperfusion (eg, with activated charcoal or resin)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.06 / $70.06 / $70.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.84 / $87.67 / $113.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.28 / $100.28 / $257.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.92 / $112.09 / $192.51
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.08 / $85.88 / $124.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.07 / $104.11 / $151.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.84 / $89.13 / $146.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.33 / $72.33 / $87.69