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Kansas rates for HCPCS 90997

Hemoperfusion (eg, with activated charcoal or resin)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.64 / $199.64 / $199.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.01 / $90.72 / $199.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.03 / $136.51 / $136.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.61 / $117.85 / $218.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.77 / $118.83 / $211.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.53 / $125.15 / $931.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.42 / $114.43 / $170.43