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Oklahoma rates for HCPCS 90997

Hemoperfusion (eg, with activated charcoal or resin)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.09 / $83.17 / $104.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.69 / $110.87 / $158.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.63 / $108.32 / $169.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.53 / $104.38 / $931.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.03 / $97.01 / $157.54