APC 09205

Loncastuximab tesirine-lpyl injection

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj lon tesirin-lpyl 0.07

Payers reporting APC 09205

Payer pricing summary

Low

$221

Average

$293

Median

$319

High

$343

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +1 other terms	86	$215	$239	$72	30%	—	$166 – $460
2	Caresource fee schedule · outpatient	20	$221	$269	$93	35%	—	$221 – $456
3	Blue Cross Blue Shield fee schedule · outpatient	11	$221	$299	$106	35%	—	$221 – $442
4	Aetna fee schedule · outpatient · +1 other terms	5	$338	$337	$112	33%	—	$223 – $451
5	Clover fee schedule · outpatient	5	$332	$332	$111	33%	—	$221 – $442
6	Kaiser fee schedule · outpatient · +1 other terms	5	$342	$342	$114	33%	—	$228 – $456
7	Medicare fee schedule · outpatient	5	$332	$332	$111	33%	—	$221 – $442
8	UnitedHealthcare fee schedule · outpatient · +1 other terms	5	$332	$332	$111	33%	—	$221 – $442
9	WellCare fee schedule · outpatient	5	$342	$342	$114	33%	—	$228 – $456
10	Carefirst facility · fee schedule · outpatient	3	$221	$221	—	—	—	$221 – $221
11	Tricare facility · fee schedule · outpatient	3	$221	$221	—	—	—	$221 – $221
12	Amerihealth Caritas facility · fee schedule · outpatient	1	$226	$226	—	—	—	$226 – $226
13	Highmark facility · fee schedule · outpatient · +1 other terms	1	$213	$213	$15	7%	—	$200 – $234