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Nevada 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
$126.64 / $1,639.00 / $4,396.00
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $102.46 / $218.42
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,007.60 / $1,007.60 / $1,007.60