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Nationwide rates for HCPCS G0455

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

Facilitymedian $2,512 · 10th–90th $89$9,7720%5%10th90th$2,512Professionalmedian $158 · 10th–90th $65$3800%10%10th90th$158$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
$151.36 / $3,090.30 / $8,912.51
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $7,079.46 / $13,803.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $371.54 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $2,137.96 / $3,630.78