APC 881

Oral lenacapavir for HIV

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, oral lenacapavi

Payers reporting APC 881

Payer pricing summary

Low

$468

Average

$680

Median

$635

High

$972

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +1 other terms	153	$629	$629	$6	1%	—	$620 – $654
2	Humana fee schedule · outpatient · +1 other terms	148	$623	$649	$182	28%	—	$596 – $2.5k
3	Aetna fee schedule · outpatient · +1 other terms	135	$629	$630	$9	1%	—	$615 – $685
4	WellCare fee schedule · outpatient · +1 other terms	127	$642	$647	$22	3%	—	$623 – $823
5	Devoted fee schedule · outpatient	122	$623	$623	$2	0%	—	$621 – $654
6	Cigna Healthspring fee schedule · outpatient	110	$648	$634	$18	3%	—	$621 – $671
7	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	105	$636	$629	$8	1%	—	$611 – $648
8	Molina fee schedule · outpatient · +1 other terms	55	$918	$917	$354	39%	—	$636 – $1.6k
9	Superior Healthplan fee schedule · outpatient	40	$654	$654	$1	0%	—	$652 – $654
10	Anthem fee schedule · outpatient	24	$623	$629	$9	1%	—	$621 – $642
11	Oscar fee schedule · outpatient	24	$611	$629	$22	3%	—	$610 – $654
12	Amerihealth Caritas fee schedule · outpatient	17	$748	$741	$15	2%	—	$708 – $748
13	Clover fee schedule · outpatient · +1 other terms	15	$653	$653	$1	0%	—	$652 – $654
14	Kaiser fee schedule · outpatient	13	$636	$635	$3	1%	—	$623 – $636
15	Cigna fee schedule · outpatient · +1 other terms	9	$636	$648	$18	3%	—	$636 – $673
16	Medicare case rate · outpatient · +1 other terms	8	$449	$449	—	—	—	$449 – $449
17	Optum fee schedule · outpatient	8	$623	$972	$451	46%	—	$621 – $1.6k
18	Ambetter case rate · outpatient · +1 other terms	7	$808	$808	—	—	—	$808 – $808
19	Highmark case rate · outpatient	3	$692	$660	$225	34%	—	$449 – $985
20	Excellus case rate · outpatient	2	$893	$893	$115	13%	—	$777 – $1.0k
21	Magellan fee schedule · outpatient	1	$623	$623	—	—	—	$623 – $623