Oral lenacapavir 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) 300 MG TABLET

Payers reporting HCPCS J0752

Payer pricing summary

Low

$326

Average

$698

Median

$605

High

$2.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +13 other terms	280	$1.0k	$943	$409	43%	—	$37 – $2.4k
2	Aetna fee schedule · outpatient · +14 other terms	119	$516	$616	$247	40%	—	$340 – $1.7k
3	Humana fee schedule · outpatient · +11 other terms	84	$451	$483	$74	15%	—	$440 – $838
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	71	$800	$1.1k	$511	46%	—	$340 – $2.8k
5	Cigna fee schedule · outpatient · +12 other terms	62	$497	$598	$249	42%	—	$440 – $1.5k
6	Anthem fee schedule · outpatient · +8 other terms	61	$449	$989	$1.1k	110%	—	$440 – $4.7k
7	WellCare fee schedule · outpatient · +5 other terms	47	$458	$502	$77	15%	—	$440 – $653
8	Molina facility · fee schedule · outpatient · +8 other terms	45	$622	$613	$127	21%	—	$325 – $1.3k
9	Kaiser fee schedule · outpatient · +3 other terms	39	$449	$877	$703	80%	—	$440 – $3.5k
10	Ambetter fee schedule · outpatient · +5 other terms	31	$1.0k	$930	$248	27%	—	$741 – $1.7k
11	Devoted fee schedule · outpatient · +2 other terms	30	$449	$454	$13	3%	—	$440 – $471
12	Caresource facility · case rate · outpatient · +5 other terms	20	$684	$768	$248	32%	—	$447 – $1.2k
13	Medicare fee schedule · outpatient · +3 other terms	18	$440	$487	$76	16%	—	$440 – $611
14	Medical Mutual facility · fee schedule · outpatient	16	$622	$905	$434	48%	—	$449 – $2.0k
15	Regence facility · fee schedule · outpatient · +1 other terms	16	$648	$634	$66	10%	—	$382 – $661
16	Optum fee schedule · outpatient · +7 other terms	15	$440	$612	$445	73%	—	$440 – $1.8k
17	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$471	$471	—	—	—	$471 – $471
18	Aetna Better Health fee schedule · outpatient · +3 other terms	11	$648	$558	$99	18%	—	$449 – $648
19	Sanford Health Plan fee schedule · outpatient · +2 other terms	11	$440	$471	$25	5%	—	$440 – $491
20	Medica facility · fee schedule · outpatient · +1 other terms	10	$449	$475	$115	24%	—	$449 – $1.0k
21	Ucare facility · fee schedule · outpatient · +2 other terms	10	$449	$454	$20	4%	—	$440 – $516
22	Clover fee schedule · outpatient · +3 other terms	9	$501	$514	$61	12%	—	$458 – $623
23	Bcbs Mn fee schedule · outpatient · +2 other terms	8	$458	$458	—	—	—	$458 – $458
24	Healthpartners facility · fee schedule · outpatient	7	$449	$449	—	—	—	$449 – $449
25	Oscar fee schedule · outpatient · +4 other terms	7	$714	$860	$396	46%	—	$494 – $1.8k

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