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Blood Cleaning Through A Charcoal Filter

Missouri 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 $126 · 10th–90th $85$5250%10%10th90th$126Professionalmedian $100 · 10th–90th $83$1860%10%20%10th90th$100$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
$588.84
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$91.20
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$109.65
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$97.72
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$190.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$120.23
Typical High
$223.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$123.03
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$151.36
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$104.71
Typical High
$169.82