go back

Blood Cleaning Through A Charcoal Filter

Wisconsin 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 $112 · 10th–90th $81$5250%20%10th90th$112Professionalmedian $110 · 10th–90th $81$3090%20%10th90th$110$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
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$91.20
Typical High
$199.53
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$125.89
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$269.15
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$213.80
Typical High
$257.04
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$524.81
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$181.97
Typical High
$263.03
Medica
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$109.65
Typical High
$524.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$173.78
Typical High
$933.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$162.18
Typical High
$229.09
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$524.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$177.83
Typical High
$257.04
Quartz
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$204.17
Typical High
$549.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$812.83
Typical High
$977.24
Security Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Security Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$165.96
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$138.04
Typical High
$281.84