go back

Missouri rates for HCPCS G0455

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

Facilitymedian $1,778 · 10th–90th $79$5,7540%5%10th90th$1,778$50.0$200.0$1.0K$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
$144.54 / $2,570.40 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $123.03 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $3,090.30 / $6,025.60