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Texas rates for HCPCS G0455

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

Facilitymedian $1,023 · 10th–90th $74$5,2480%5%10th90th$1,023$50.0$200.0$1.0K$5.0K

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
$537.03 / $2,454.71 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $1,258.93 / $2,691.53
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $154.88 / $154.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $436.52
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $128.82 / $691.83
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $117.49 / $223.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $1,479.11 / $1,949.84