Yearly wellness visit with prevention plan follow-up

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

PR Visit Annual Well W/ Ppps Subsequent Visit

Payers reporting HCPCS G0439

Payer pricing summary

Low

$21

Average

$2.5k

Median

$179

High

$68.9k

Payer rate distribution

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#
1	Medica professional · fee schedule · outpatient · +16 other terms	28	$143	$145	$33	22%	683–719	$68 – $238
2	Ucare professional · fee schedule · outpatient · +13 other terms	24	$130	$140	$47	34%	654–690	$68 – $302
3	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	282	$139	$192	$130	68%	510	$0 – $873
4	WellCare fee schedule · outpatient · +23 other terms	216	$138	$139	$9	7%	129–138	$77 – $171
5	Humana fee schedule · outpatient · +28 other terms	332	$131	$199	$227	114%	77	$1 – $1.1k
6	Aetna fee schedule · outpatient · +33 other terms	438	$138	$168	$105	62%	29	$1 – $1.5k
7	Highmark fee schedule · outpatient · +19 other terms	24	$129	$152	$85	56%	1–10	$84 – $606
8	UnitedHealthcare fee schedule · outpatient · +35 other terms	424	$138	$160	$53	33%	—	$1 – $468
9	Devoted fee schedule · outpatient · +16 other terms	155	$137	$136	$12	9%	—	$125 – $319
10	Molina fee schedule · outpatient · +25 other terms	140	$197	$188	$77	41%	—	$1 – $558
11	Cigna Healthspring fee schedule · outpatient · +5 other terms	126	$142	$140	$7	5%	—	$117 – $160
12	Cigna fee schedule · outpatient · +25 other terms	114	$143	$206	$101	49%	—	$0 – $479
13	Anthem fee schedule · outpatient · +26 other terms	96	$142	$401	$369	92%	—	$22 – $1.6k
14	Kaiser fee schedule · outpatient · +23 other terms	83	$145	$226	$148	65%	—	$53 – $1.0k
15	Ambetter fee schedule · outpatient · +18 other terms	64	$217	$215	$75	35%	—	$30 – $436
16	Oscar fee schedule · outpatient · +18 other terms	51	$149	$158	$83	53%	—	$1 – $379
17	Caresource fee schedule · outpatient · +20 other terms	49	$128	$168	$21	13%	—	$1 – $273
18	Optum fee schedule · outpatient · +17 other terms	46	$130	$173	$91	52%	—	$117 – $497
19	Superior Healthplan fee schedule · outpatient · +3 other terms	45	$146	$145	$6	4%	—	$121 – $196
20	Medicare fee schedule · outpatient · +14 other terms	33	$124	$125	$7	5%	—	$117 – $149
21	Clover fee schedule · outpatient · +11 other terms	32	$138	$134	$7	6%	—	$122 – $147
22	Amerihealth Caritas fee schedule · outpatient · +13 other terms	31	$150	$163	$53	33%	—	$92 – $305
23	Regence professional · fee schedule · outpatient · +16 other terms	31	$125	$171	$56	33%	—	$68 – $319
24	Tricare fee schedule · outpatient · +12 other terms	27	$123	$121	$11	9%	—	$67 – $143
25	Wellmark fee schedule · both · +17 other terms	26	$178	$174	$26	15%	—	$121 – $207

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