Lenacapavir injection for HIV prevention

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

LENACAPAVIR (PREP) 309 MG/ML SUBCUTANEOUS SOLUTION

Payers reporting HCPCS J0738

Payer pricing summary

Low

Average

$2.8k

Median

$30

High

$26.8k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +15 other terms	280	$27	$43	$193	454%	—	$16 – $2.4k
2	Aetna fee schedule · outpatient · +15 other terms	118	$16	$76	$356	469%	—	$9 – $2.4k
3	Humana fee schedule · outpatient · +14 other terms	84	$16	$109	$468	429%	—	$16 – $2.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	71	$24	$38	$20	52%	—	$9 – $100
5	Cigna fee schedule · outpatient · +13 other terms	62	$16	$20	$7	36%	—	$16 – $39
6	Anthem fee schedule · outpatient · +8 other terms	61	$16	$140	$499	355%	—	$16 – $2.4k
7	WellCare fee schedule · outpatient · +7 other terms	47	$16	$17	$1	6%	—	$16 – $20
8	Molina facility · fee schedule · outpatient · +9 other terms	45	$16	$16	$3	20%	—	$8 – $33
9	Kaiser fee schedule · outpatient · +7 other terms	39	$16	$29	$25	86%	—	$16 – $127
10	Ambetter fee schedule · outpatient · +5 other terms	31	$29	$30	$4	15%	—	$27 – $43
11	Devoted fee schedule · outpatient · +3 other terms	30	$16	$16	$0	3%	—	$16 – $17
12	Caresource facility · case rate · outpatient · +6 other terms	20	$3.1k	$2.5k	$1.7k	68%	—	$16 – $5.5k
13	Medicare fee schedule · outpatient · +5 other terms	18	$16	$16	—	—	—	$16 – $16
14	Medical Mutual facility · fee schedule · outpatient	16	$16	$24	$11	47%	—	$16 – $52
15	Regence facility · fee schedule · outpatient · +1 other terms	16	$17	$17	$1	5%	—	$14 – $17
16	Optum fee schedule · outpatient · +7 other terms	15	$16	$20	$10	51%	—	$16 – $46
17	Cigna Healthspring fee schedule · outpatient · +2 other terms	12	$17	$17	—	—	—	$17 – $17
18	Aetna Better Health fee schedule · outpatient · +3 other terms	11	$17	$16	$0	2%	—	$16 – $17
19	Sanford Health Plan fee schedule · outpatient · +2 other terms	11	$16	$17	$1	5%	—	$16 – $18
20	Medica facility · fee schedule · outpatient · +3 other terms	10	$16	$17	$2	13%	—	$16 – $27
21	Ucare facility · fee schedule · outpatient · +2 other terms	10	$16	$16	$1	4%	—	$16 – $19
22	Clover fee schedule · outpatient · +3 other terms	9	$16	$17	$1	5%	—	$16 – $18
23	Tricare facility · fee schedule · outpatient · +2 other terms	9	$16	$14.6k	$27.4k	188%	—	$15 – $70.5k
24	Bcbs Mn fee schedule · outpatient · +2 other terms	8	$16	$16	—	—	—	$16 – $16
25	Magellan percent of total billed charges · outpatientfrom % of charges · +1 other terms	8	$46	$9.5k	$25.0k	263%	—	$22 – $75.7k

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