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Blood Cleaning Through A Charcoal Filter

Hawaii 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.

Professionalmedian $91 · 10th–90th $79$1550%20%10th90th$91$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$91.20
Typical High
$112.20
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$107.15
Typical High
$234.42
HMSA
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$162.18
Typical High
$181.97
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$91.20
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$100.00
Typical High
$154.88
University Health Alliance
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$107.15