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Blood Cleaning Through A Charcoal Filter

Idaho 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 $129 · 10th–90th $93$2190%10%10th90th$129Professionalmedian $112 · 10th–90th $79$1700%10%20%10th90th$112$50.0$100.0$200.0$500.0$1.0K

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
Professional
Modifier
Global
Typical Low
$79.43
Median
$91.20
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$169.82
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$125.89
Typical High
$169.82
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$125.89
Typical High
$218.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$138.04
Typical High
$177.83
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$72.44
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$199.53
Select Health
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Select Health
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$72.44
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$169.82