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Kansas 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
$1,348.96 / $3,630.78 / $8,128.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $112.20 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,737.80