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Missouri 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
$818.00 / $2,507.00 / $7,365.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.78 / $125.56 / $248.73