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Nebraska 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
$120.59 / $4,241.22 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.14 / $2,109.54 / $3,702.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.41 / $131.08 / $267.52
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.90 / $188.92 / $302.58