Counseling for HIV prevention (PrEP), initial visit

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

Hiv prep counsel, md 15-30m

Payers reporting HCPCS G0011

Payer pricing summary

Low

Average

$36

Median

$31

High

$83

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +9 other terms	152	$21	$27	$17	62%	—	$15 – $93
2	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	104	$71	$76	$34	44%	—	$0 – $157
3	UnitedHealthcare fee schedule · outpatient · +16 other terms	76	$27	$36	$15	41%	—	$14 – $89
4	Aetna fee schedule · outpatient · +13 other terms	69	$27	$42	$37	88%	—	$15 – $257
5	Anthem fee schedule · outpatient · +11 other terms	43	$85	$109	$72	66%	—	$24 – $299
6	Molina facility · case rate · outpatient · +9 other terms	38	$58	$59	$26	45%	—	$15 – $133
7	Bcbs Tx fee schedule · outpatient	30	$90	$83	$30	37%	—	$27 – $153
8	Cigna fee schedule · outpatient · +10 other terms	26	$27	$29	$12	42%	—	$22 – $78
9	Kaiser fee schedule · outpatient · +4 other terms	25	$24	$25	$2	7%	—	$22 – $27
10	Devoted fee schedule · outpatient · +3 other terms	21	$27	$26	$2	6%	—	$24 – $27
11	Caresource facility · case rate · outpatient · +8 other terms	20	$76	$74	$26	36%	—	$25 – $136
12	Medicare fee schedule · outpatient · +4 other terms	18	$24	$23	$1	2%	—	$22 – $24
13	WellCare facility · fee schedule · outpatient · +8 other terms	15	$28	$27	$3	10%	—	$21 – $30
14	Optum facility · case rate · outpatient · +6 other terms	14	$70	$69	$26	38%	—	$27 – $120
15	Highmark fee schedule · outpatient · +6 other terms	13	$25	$26	$7	28%	—	$20 – $81
16	Wellmark fee schedule · both · +2 other terms	13	$32	$32	$5	17%	—	$23 – $42
17	Aetna Better Health fee schedule · outpatient · +5 other terms	12	$22	$24	$1	6%	—	$22 – $25
18	Bcbs Nj fee schedule · outpatient	12	$25	$32	$12	37%	—	$22 – $59
19	Cigna Healthspring fee schedule · both · +2 other terms	12	$23	$23	$0	1%	—	$23 – $24
20	Medica fee schedule · outpatient · +4 other terms	10	$78	$77	$22	28%	—	$35 – $100
21	Medical Mutual facility · fee schedule · outpatient	10	$28	$35	$7	21%	—	$28 – $45
22	Oscar fee schedule · outpatient · +2 other terms	10	$20	$22	$19	87%	—	$1 – $49
23	Ambetter facility · fee schedule · outpatient · +5 other terms	9	$51	$48	$8	16%	—	$27 – $51
24	MultiPlan fee schedule · both · +4 other terms	9	$42	$41	$1	2%	—	$41 – $43
25	Ucare fee schedule · both · +2 other terms	9	$41	$42	$21	50%	—	$17 – $64

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