go back

Colorado 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
$915.00 / $3,133.00 / $8,652.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.73 / $93.73 / $93.73
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.98 / $129.16 / $212.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.93 / $150.50 / $248.23