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Blood Cleaning Through A Charcoal Filter

New Hampshire 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?

$102

Typical physician fee. In New Hampshire, July 2026.

Insurers have agreed to pay about $102 for this service. Most negotiated rates run $87.10 to $151.

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.

How much rates vary

Facilitymedian $275 · 10th to 90th $275 to $275Professionalmedian $102 · 10th to 90th $79 to $191
$100$200facility $275professional $102

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$87.10
Typical High
$144.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$134.90
Typical High
$229.09
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$138.04
Typical High
$263.03
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33

Where New Hampshire 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.

New Hampshire· 16th of 51

$102

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.