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Idaho rates for HCPCS 90997

Hemoperfusion (eg, with activated charcoal or resin)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.17 / $104.00 / $123.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.32 / $134.76 / $175.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.75 / $132.03 / $184.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $148.31 / $169.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $125.07 / $157.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.32 / $121.55 / $146.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.65 / $122.88 / $163.84