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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 July 2026.

Facilitymedian $158 · 10th–90th $87$2400%10%10th90th$158Professionalmedian $123 · 10th–90th $87$1910%10%10th90th$123$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
$87.10
Median
$87.10
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$177.83
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$158.49
Typical High
$239.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$933.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$177.83
Typical High
$204.17
Midlands
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$186.21
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$141.25
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$141.25
Typical High
$223.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$165.96
Typical High
$165.96