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Blood Cleaning Through A Charcoal Filter

South Dakota 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 October 2026.

How much does Blood Cleaning Through A Charcoal Filter cost?

$170

Typical physician fee. In South Dakota, October 2026.

Insurers have agreed to pay about $170 for this service. Most negotiated rates run $135 to $182.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $148 · 10th to 90th $120 to $240Professionalmedian $170 · 10th to 90th $105 to $209
$100$200$500$1Kfacility $148professional $170

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Aetna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$102.33
Cigna
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$177.83
Typical High
$229.09
Medica
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$147.91
Typical High
$239.88
Medica
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$177.83
Typical High
$933.25
Midlands
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$177.83
Typical High
$208.93
Midlands
Setting
Professional
Modifier
None
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Sanford Health Plan
Setting
Professional
Modifier
None
Typical Low
$109.65
Median
$138.04
Typical High
$186.21
United
Setting
Professional
Modifier
None
Typical Low
$83.18
Median
$162.18
Typical High
$190.55
Wellmark
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$165.96
Typical High
$165.96

Where South Dakota sits

The same service costs 3.1 times more in Alaska than in Florida. 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.

South Dakota· 3rd of 51

$170

AK $229FL $74.13

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.