FQHC visit for preventive or wellness exam

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

Fqhc visit, ippe or awv

Payers reporting HCPCS G0468

Payer pricing summary

Low

Average

$148

Median

$139

High

$675

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna facility · fee schedule · outpatient · +6 other terms	18	$363	$340	$110	32%	—	$127 – $485
2	Anthem facility · case rate · outpatient · +3 other terms	15	$58	$63	$15	23%	—	$39 – $98
3	Caresource facility · case rate · outpatient · +2 other terms	15	$59	$63	$14	23%	—	$39 – $100
4	Molina facility · case rate · outpatient · +1 other terms	15	$58	$63	$15	23%	—	$40 – $98
5	UnitedHealthcare facility · case rate · outpatient · +7 other terms	15	$59	$64	$15	23%	—	$40 – $100
6	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$835	$621	$365	59%	—	$244 – $1.0k
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms	12	$244	$247	$88	35%	—	$0 – $550
8	Optum facility · case rate · outpatient · +1 other terms	11	$54	$60	$13	22%	—	$49 – $89
9	Cigna professional · fee schedule · outpatient · +4 other terms	9	$13	$20	$13	66%	—	$13 – $46
10	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$134	$134	—	—	—	$134 – $134
11	Humana fee schedule · inpatient · +4 other terms	5	$130	$130	—	—	—	$130 – $130
12	First Health professional · fee schedule · both	3	$143	$143	—	—	—	$143 – $143
13	Highmark facility · fee schedule · outpatient · +1 other terms	2	$220	$229	$24	11%	—	$194 – $246
14	Ambetter professional · fee schedule · both	1	$0	$0	—	—	—	$0 – $0
15	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
16	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
17	Bcbs Nc facility · fee schedule · outpatient	1	$228	$228	—	—	—	$228 – $228
18	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$167	$167	$19	11%	—	$148 – $185
19	Bcbs Vt professional · fee schedule · outpatient	1	$118	$118	—	—	—	$118 – $118
20	MultiPlan percent of total billed charges · bothfrom % of charges	1	$308	$308	—	—	—	$308 – $308
21	Oscar percent of total billed charges · bothfrom % of charges	1	$198	$198	—	—	—	$198 – $198
22	Tricare professional · fee schedule · both	1	$0	$0	—	—	—	$0 – $0