go back

Louisiana rates for HCPCS G0455

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

Facilitymedian $1,288 · 10th–90th $155–$3,7150%5%10%10th90th$1,288$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$338.84 / $1,288.25 / $3,890.45
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$144.54 / $812.83 / $1,862.09
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $154.88 / $154.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,412.54 / $2,511.89