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Virginia rates for HCPCS G0455

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

Facilitymedian $141 · 10th–90th $58–$5,7540%5%10th90th$141Professionalmedian $174 · 10th–90th $141–$2880%20%10th90th$174$20.0$100.0$500.0$2.0K$10.0K

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
$81.28 / $2,041.74 / $8,317.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $173.78 / $288.40
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $117.49 / $213.80
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $70.79 / $173.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $1,621.81 / $5,754.40