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Blood Cleaning Through A Charcoal Filter

Nebraska 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 $141 · 10th–90th $79$2140%10%10th90th$141Professionalmedian $95 · 10th–90th $79$2000%20%10th90th$95$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
Professional
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$162.18
BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$2,137.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$134.90
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$177.83
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$141.25
Typical High
$208.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$933.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$204.17
Typical High
$234.42
Midlands
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$158.49
Typical High
$218.78