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Mississippi 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
$81.66 / $950.00 / $1,831.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.00 / $415.00 / $456.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09