Extra 20-minute monthly digital mental health device 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

Add 20 m of monthly tx

Payers reporting HCPCS G0554

Payer pricing summary

Low

Average

$53

Median

$41

High

$180

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	74	$94	$106	$45	43%	—	$0 – $207
2	UnitedHealthcare fee schedule · outpatient · +16 other terms	66	$40	$45	$11	24%	—	$27 – $59
3	Humana fee schedule · outpatient · +8 other terms	59	$39	$37	$8	21%	—	$27 – $58
4	Aetna fee schedule · outpatient · +13 other terms	54	$39	$40	$11	28%	—	$24 – $78
5	Anthem fee schedule · outpatient · +9 other terms	42	$38	$120	$81	68%	—	$28 – $276
6	Bcbs Tx fee schedule · outpatient	30	$119	$109	$40	37%	—	$35 – $200
7	Kaiser fee schedule · outpatient · +4 other terms	25	$29	$34	$6	19%	—	$27 – $41
8	Cigna fee schedule · outpatient · +10 other terms	24	$35	$35	$7	19%	—	$27 – $45
9	Devoted fee schedule · outpatient · +5 other terms	21	$41	$35	$6	17%	—	$28 – $41
10	Molina facility · case rate · outpatient · +8 other terms	20	$34	$40	$17	43%	—	$21 – $81
11	Medicare fee schedule · outpatient · +4 other terms	18	$28	$28	$1	2%	—	$27 – $29
12	WellCare professional · fee schedule · outpatient · +8 other terms	16	$33	$34	$6	18%	—	$26 – $44
13	Wellmark fee schedule · both	13	$42	$41	$9	21%	—	$28 – $52
14	Cigna Healthspring fee schedule · both · +2 other terms	12	$27	$28	$0	1%	—	$27 – $29
15	Highmark fee schedule · outpatient · +4 other terms	10	$27	$27	$1	5%	—	$26 – $28
16	Medical Mutual facility · fee schedule · outpatient	10	$40	$49	$10	21%	—	$40 – $63
17	Optum fee schedule · outpatient · +8 other terms	10	$28	$28	$0	1%	—	$28 – $29
18	Ambetter facility · fee schedule · outpatient · +5 other terms	9	$71	$68	$10	15%	—	$40 – $71
19	Caresource facility · fee schedule · outpatient · +6 other terms	9	$71	$69	$10	14%	—	$40 – $79
20	Medica fee schedule · both · +3 other terms	9	$30	$30	$0	1%	—	$29 – $30
21	Oscar fee schedule · outpatient · +4 other terms	9	$30	$29	$29	98%	—	$1 – $72
22	Ucare fee schedule · both · +2 other terms	9	$59	$61	$20	34%	—	$29 – $76
23	Aetna Better Health facility · case rate · outpatient · +1 other terms	8	$30	$31	$3	10%	—	$30 – $39
24	Bcbs Mn fee schedule · both · +3 other terms	8	$44	$44	$11	25%	—	$28 – $52
25	Sanford Health Plan fee schedule · both · +2 other terms	8	$27	$27	—	—	—	$27 – $27

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