Fecal microbiota preparation for instillation

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC PREPARE W INSTALLATION FECAL MICROBIOTA

Payers reporting HCPCS G0455

Payer pricing summary

Low

$87

Average

$1.2k

Median

$953

High

$11.5k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +29 other terms	411	$1.0k	$1.6k	$1.9k	116%	—	$1 – $21.3k
2	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	297	$1.3k	$1.8k	$1.9k	109%	—	$1 – $21.6k
3	UnitedHealthcare fee schedule · outpatient · +28 other terms	288	$922	$1.2k	$1.4k	124%	—	$1 – $26.8k
4	Humana fee schedule · outpatient · +23 other terms	262	$910	$981	$858	87%	—	$1 – $8.3k
5	Cigna fee schedule · outpatient · +26 other terms	147	$967	$1.2k	$848	68%	—	$13 – $4.8k
6	Molina fee schedule · outpatient · +18 other terms	130	$979	$1.1k	$542	51%	—	$1 – $2.5k
7	WellCare fee schedule · outpatient · +16 other terms	121	$993	$1.1k	$612	53%	—	$75 – $4.4k
8	Anthem facility · fee schedule · outpatient · +22 other terms	84	$1.2k	$1.9k	$1.2k	65%	—	$98 – $5.1k
9	Ambetter facility · fee schedule · outpatient · +17 other terms	81	$1.7k	$1.8k	$425	24%	—	$182 – $2.3k
10	Devoted fee schedule · outpatient · +12 other terms	69	$925	$843	$276	33%	—	$67 – $1.0k
11	Kaiser fee schedule · outpatient · +18 other terms	67	$1.3k	$1.7k	$1.3k	73%	—	$62 – $6.5k
12	Oscar fee schedule · outpatient · +17 other terms	48	$1.7k	$1.2k	$867	70%	—	$1 – $2.7k
13	Optum fee schedule · outpatient · +16 other terms	37	$844	$866	$579	67%	—	$67 – $1.8k
14	Clover fee schedule · outpatient · +6 other terms	34	$1.0k	$1.3k	$1.0k	77%	—	$758 – $4.4k
15	Tricare fee schedule · outpatient · +16 other terms	34	$844	$1.3k	$1.4k	112%	—	$72 – $5.1k
16	Caresource facility · fee schedule · outpatient · +16 other terms	30	$1.4k	$1.4k	$350	25%	—	$855 – $1.9k
17	Medicare fee schedule · outpatient · +14 other terms	27	$67	$711	$1.3k	178%	—	$62 – $4.2k
18	Bcbs Tx fee schedule · outpatient · +2 other terms	26	$1.2k	$1.1k	$362	32%	—	$613 – $2.7k
19	Regence professional · fee schedule · outpatient · +13 other terms	26	$97	$165	$98	59%	—	$69 – $408
20	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$1.2k	$1.2k	$235	20%	—	$887 – $1.5k
21	Superior Healthplan facility · fee schedule · outpatient · +2 other terms	21	$981	$969	$20	2%	—	$934 – $983
22	First Health fee schedule · outpatient · +13 other terms	20	$971	$2.7k	$2.7k	99%	—	$856 – $7.2k
23	Highmark facility · fee schedule · outpatient · +12 other terms	20	$1.2k	$1.1k	$979	90%	—	$53 – $3.1k
24	Aetna Better Health facility · fee schedule · outpatient · +12 other terms	16	$108	$294	$301	102%	—	$53 – $950
25	MultiPlan fee schedule · outpatient · +17 other terms	16	$1.5k	$1.4k	$138	10%	—	$856 – $1.5k

Page 1 of 3 · 65 payers