go back

Blood Cleaning Through A Charcoal Filter

Texas 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 $115 · 10th–90th $81$2190%10%10th90th$115Professionalmedian $91 · 10th–90th $76$1290%20%10th90th$91$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$89.13
Typical High
$112.20
Christus
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$112.20
Typical High
$194.98
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$758.58
Typical High
$758.58
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$204.17
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$114.82
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$74.13
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$147.91
Providence
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$114.82
Typical High
$204.17
Providence
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$114.82
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$109.65
Typical High
$141.25
United
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$151.36
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$74.13
Typical High
$102.33