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Rhode Island 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
$1,518.41 / $1,543.03 / $3,955.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.07 / $1,535.04 / $1,986.10