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Missouri rates for HCPCS 90997

Hemoperfusion (eg, with activated charcoal or resin)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.00 / $588.00 / $588.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.04 / $91.11 / $121.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.84 / $110.00 / $181.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.49 / $119.52 / $194.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.70 / $123.00 / $222.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.15 / $122.52 / $931.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.34 / $105.21 / $180.13