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South Dakota rates for HCPCS 90997

Hemoperfusion (eg, with activated charcoal or resin)

Facilitymedian $158 · 10th–90th $87–$2400%10%10th90th$158Professionalmedian $93 · 10th–90th $79–$1910%20%40%10th90th$93$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $177.83 / $229.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $158.49 / $239.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $144.54 / $933.25
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $177.83 / $204.17
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $186.21 / $186.21
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $141.25 / $169.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $141.25 / $199.53
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $199.53 / $199.53