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Wisconsin rates for HCPCS 90997

Hemoperfusion (eg, with activated charcoal or resin)

Facilitymedian $120 · 10th–90th $81$5250%20%10th90th$120Professionalmedian $95 · 10th–90th $79$2630%20%40%10th90th$95$1.0$5.0$20.0$100.0$500.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $323.59 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $89.13 / $138.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $125.89 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $269.15 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $208.93 / $257.04
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $104.71 / $524.81
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $181.97 / $263.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $109.65 / $524.81
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $173.78 / $933.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $162.18 / $229.09
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $177.83 / $257.04
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $204.17 / $549.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $812.83 / $933.25
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $165.96 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $147.91 / $147.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $138.04 / $275.42