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Nationwide rates for HCPCS G0455

Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $3,090.30 / $8,912.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $7,079.46 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $275.42 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,238.72 / $3,981.07