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Iowa 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
$2,234.00 / $3,795.64 / $7,119.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.09 / $154.28 / $913.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.01 / $161.30 / $345.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.90 / $167.80 / $296.14