APC 9205

Loncastuximab tesirine 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-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

Inj lon tesirin-lpyl 0.075mg

Payers reporting APC 9205

Payer pricing summary

Low

$113

Average

$900

Median

$231

High

$12.9k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$296	$303	$111	37%	2–20	$217 – $487
2	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$223	$223	$4	2%	—	$201 – $232
3	Humana fee schedule · outpatient · +4 other terms	161	$221	$231	$63	27%	—	$201 – $885
4	Aetna fee schedule · outpatient · +4 other terms	155	$223	$228	$25	11%	—	$201 – $371
5	WellCare fee schedule · outpatient · +2 other terms	131	$228	$231	$9	4%	—	$212 – $292
6	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$226	$224	$8	4%	—	$206 – $310
7	Devoted fee schedule · outpatient · +1 other terms	122	$221	$222	$2	1%	—	$221 – $232
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$230	$227	$6	3%	—	$221 – $245
9	Molina fee schedule · outpatient · +2 other terms	69	$326	$317	$122	38%	—	$212 – $580
10	Superior Healthplan fee schedule · outpatient	40	$232	$233	$1	1%	—	$232 – $238
11	Anthem fee schedule · outpatient · +1 other terms	31	$221	$221	$5	2%	—	$212 – $228
12	Oscar fee schedule · outpatient · +1 other terms	27	$217	$240	$47	20%	—	$217 – $371
13	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$265	$264	$3	1%	—	$258 – $265
14	Cigna fee schedule · outpatient · +2 other terms	15	$226	$224	$9	4%	—	$212 – $239
15	Clover fee schedule · outpatient · +2 other terms	15	$233	$233	$1	1%	—	$232 – $238
16	Kaiser fee schedule · outpatient · +2 other terms	15	$226	$224	$3	1%	—	$216 – $226
17	Ambetter case rate · outpatient · +2 other terms	12	$390	$425	$41	10%	—	$390 – $474
18	Medicare case rate · outpatient · +1 other terms	8	$217	$217	—	—	—	$217 – $217
19	Optum fee schedule · outpatient · +1 other terms	8	$224	$334	$159	48%	—	$217 – $567
20	Highmark case rate · outpatient · +2 other terms	5	$217	$293	$104	35%	—	$217 – $476
21	Tricare facility · fee schedule · outpatient	5	$217	$217	—	—	—	$217 – $217
22	Bcbs Nj facility · other · outpatient	3	$221	$221	—	—	—	$221 – $221
23	Sanford Health Plan case rate · outpatient	3	$314	$316	$32	10%	—	$263 – $362
24	Aetna Better Health facility · case rate · outpatient	1	$167	$167	$54	32%	—	$113 – $221
25	Magellan fee schedule · outpatient	1	$221	$221	—	—	—	$221 – $221

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