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Georgia rates for HCPCS G0455

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

Facilitymedian $4,365 · 10th–90th $1,778$7,4130%10%10th90th$4,365Professionalmedian $148 · 10th–90th $63$2690%20%10th90th$148$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $4,365.16 / $7,413.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $147.91 / $269.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $1,412.54 / $1,621.81