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Blood Cleaning Through A Charcoal Filter

West Virginia 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 $129 · 10th–90th $110$1290%50%10th$129Professionalmedian $87 · 10th–90th $72$1230%20%40%10th90th$87$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
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$102.33
CareSource
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$112.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$117.49
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$144.54