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Hawaii rates for HCPCS G0455

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

Facilitymedian $2,884 · 10th–90th $1,000$2,8840%50%10th$2,884Professionalmedian $158 · 10th–90th $68$2190%10%20%10th90th$158$100.0$200.0$500.0$1.0K$2.0K

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
$1,000.00 / $2,884.03 / $2,884.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $158.49 / $218.78