go back

North Dakota rates for HCPCS 90997

Hemoperfusion (eg, with activated charcoal or resin)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.34 / $90.34 / $90.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.29 / $90.91 / $103.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.27 / $202.67 / $222.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.15 / $177.77 / $283.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.54 / $139.52 / $208.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.11 / $155.13 / $931.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.87 / $135.88 / $213.89