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New Jersey 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
$49.80 / $4,294.00 / $9,284.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,847.80 / $2,134.80 / $3,933.96