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Minnesota rates for HCPCS G0455

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

Facilitymedian $437 · 10th–90th $74$2,6920%5%10th90th$437$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
$67.61 / $128.82 / $1,148.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $1,621.81 / $4,168.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $489.78 / $1,174.90
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $457.09 / $912.01
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $141.25 / $346.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,398.83 / $3,311.31