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Oregon rates for HCPCS 90997

Hemoperfusion (eg, with activated charcoal or resin)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $93.33 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $169.82 / $229.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $162.18 / $204.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $120.23 / $204.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $158.49 / $213.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $169.82 / $173.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $123.03 / $204.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $173.78 / $234.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $186.21 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $169.82 / $251.19