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Fecal Microbiota Preparation and Instillation

Hawaii rates for HCPCS G0455

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

Rates data updated July 2026.

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,000 to $2,884Professionalmedian $158 · 10th to 90th $68 to $219
$100.0$200.0$500.0$1.0K$2.0Kfacility $2,884professional $158

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$2,884.03
Typical High
$2,884.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$158.49
Typical High
$218.78