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Virginia rates for HCPCS 90997

Hemoperfusion (eg, with activated charcoal or resin)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.39 / $87.67 / $105.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.47 / $101.84 / $153.28
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.85 / $114.28 / $222.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.28 / $100.28 / $100.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.02 / $114.76 / $189.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.95 / $96.11 / $139.66
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.86 / $112.96 / $193.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.00 / $126.19 / $173.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.87 / $115.65 / $170.67
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.87 / $115.65 / $170.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.86 / $98.83 / $153.57