G0455
CPT/HCPCSPreparation with instillation of fecal microbiota by any method, including assessment of donor specimen
Physician Fee Schedule
Facility
Medicare Payment
$55.27
Submitted Charge$431.91
Medicare Allowed$70.92
Providers401
Beneficiaries599
Total Services639
Office
Medicare Payment
$95.93
Submitted Charge$879.20
Medicare Allowed$120.21
Providers91
Beneficiaries125
Total Services128