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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.

How much does Blood Cleaning Through A Charcoal Filter cost?

$100

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $100 for this service. The price depends on where it is billed: about $100 from a physician practice, and about $126 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$100$89.13 to $123
FacilityA hospital or hospital-owned outpatient department$126$93.33 to $186

How much rates vary

Facilitymedian $126 · 10th to 90th $85 to $525Professionalmedian $100 · 10th to 90th $83 to $186
$100$200$500$1Kfacility $126professional $100

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Missouri sits

The same service costs 2.3 times more in Minnesota than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Missouri· 22nd of 51

$100

MN $200WV $87.10

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.