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Blood Cleaning Through A Charcoal Filter

Iowa 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.

Facilitymedian $166 · 10th–90th $87$2400%10%10th90th$166Professionalmedian $112 · 10th–90th $83$2510%10%20%10th90th$112$100.0$200.0$500.0$1.0K$2.0K

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
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$95.50
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$173.78
Typical High
$234.42
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$229.09
Typical High
$295.12
Medica
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$165.96
Typical High
$239.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$177.83
Typical High
$933.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$204.17
Typical High
$239.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$181.97
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$141.25
Typical High
$245.47
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$134.90
Typical High
$158.49