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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.

Facilitymedian $148 · 10th–90th $102$1910%20%40%10th90th$148Professionalmedian $105 · 10th–90th $72$2140%10%20%10th90th$105$100.0$200.0$500.0$1.0K

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
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