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Maryland rates for HCPCS G0455

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.73 / $93.73 / $93.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.18 / $160.53 / $221.98