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Blood Cleaning Through A Charcoal Filter

Montana 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?

$132

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $105 from a physician practice, and about $148 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 5 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$105$79.43 to $148
FacilityA hospital or hospital-owned outpatient department$148$132 to $158

How much rates vary

Facilitymedian $148 · 10th to 90th $102 to $191Professionalmedian $105 · 10th to 90th $72 to $214
$100$200$500facility $148professional $105

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
Professional
Modifier
Global
Typical Low
$72.44
Median
$87.10
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$123.03
Typical High
$257.04
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$165.96
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$165.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$134.90
Typical High
$239.88
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$141.25
Typical High
$234.42
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$144.54
Typical High
$173.78

Where Montana 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.

Montana· 6th of 51

$132

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.