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Blood Cleaning Through A Charcoal Filter

Utah 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 $105 · 10th–90th $81$2240%50%10th90th$105Professionalmedian $105 · 10th–90th $79$1660%10%20%10th90th$105$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$104.71
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$117.49
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$66.07
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$109.65
Typical High
$177.83
Select Health
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$100.00
Typical High
$234.42
Select Health
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$100.00
Typical High
$107.15
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$114.82
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$100.00
Typical High
$151.36