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Georgia 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
$115.82 / $3,391.00 / $6,915.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.73 / $93.73 / $93.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.53 / $127.87 / $335.13