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Blood Cleaning Through A Charcoal Filter

South Carolina 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 $123 · 10th–90th $87$2040%10%10th90th$123Professionalmedian $91 · 10th–90th $79$1320%20%10th90th$91$50.0$100.0$200.0$500.0$1.0K

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
$112.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$177.83
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$125.89
Typical High
$194.98
Medcost
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$173.78
Typical High
$186.21
Medcost
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$123.03
Typical High
$204.17
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$93.33
Typical High
$154.88