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Hawaii 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
$988.00 / $2,898.00 / $3,444.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.41 / $139.66 / $191.70