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Oregon rates for HCPCS G0455

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

Facilitymedian $174 · 10th–90th $71–$2880%10%10th90th$174Professionalmedian $178 · 10th–90th $117–$3550%20%10th90th$178$2.0$20.0$200.0$2.0K$20.0K$200.0K

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
$57.54 / $186.21 / $7,943.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $177.83 / $354.81
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $128.82 / $245.47
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $245.47 / $257.04
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $123.03 / $245.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,884.03 / $3,548.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,467.37 / $4,570.88