Lenacapavir injection for HIV treatment

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 309 MG/ML SUBCUTANEOUS SOLUTION

Payers reporting HCPCS J1961

Payer pricing summary

Low

$12

Average

$4.1k

Median

$1.4k

High

$31.0k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	539	$33	$55	$309	562%	—	$1 – $4.5k
2	Aetna fee schedule · outpatient · +20 other terms	357	$23	$39	$19	48%	—	$1 – $263
3	Cigna fee schedule · outpatient · +18 other terms	321	$31	$67	$197	295%	—	$18 – $3.3k
4	Humana fee schedule · outpatient · +18 other terms	298	$22	$23	$9	37%	—	$1 – $83
5	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	291	$34	$47	$30	65%	—	$1 – $161
6	Molina fee schedule · outpatient · +16 other terms	127	$32	$397	$1.7k	428%	—	$1 – $17.0k
7	WellCare fee schedule · outpatient · +10 other terms	114	$22	$25	$7	30%	—	$21 – $52
8	Anthem fee schedule · outpatient · +16 other terms	101	$30	$39	$28	72%	—	$21 – $167
9	Caresource fee schedule · outpatient · +8 other terms	70	$26	$26	$6	25%	—	$1 – $43
10	Devoted fee schedule · outpatient · +5 other terms	65	$22	$22	$1	5%	—	$20 – $24
11	Kaiser fee schedule · outpatient · +10 other terms	56	$33	$41	$28	68%	—	$18 – $170
12	Ambetter facility · fee schedule · outpatient · +8 other terms	51	$39	$42	$10	23%	—	$22 – $56
13	Optum fee schedule · outpatient · +13 other terms	33	$22	$29	$13	44%	—	$20 – $64
14	Bcbs Tx fee schedule · outpatient	31	$80	$74	$33	44%	—	$21 – $143
15	Oscar facility · fee schedule · outpatient · +10 other terms	27	$28	$31	$6	19%	—	$22 – $41
16	Clover fee schedule · outpatient · +4 other terms	24	$24	$23	$2	7%	—	$21 – $26
17	Aetna Better Health fee schedule · outpatient · +7 other terms	22	$23	$23	$1	5%	—	$22 – $26
18	Medical Mutual facility · fee schedule · outpatient · +2 other terms	20	$32	$45	$22	49%	—	$12 – $94
19	Regence facility · fee schedule · outpatient · +2 other terms	20	$23	$25	$7	29%	—	$19 – $49
20	Healthpartners fee schedule · outpatient · +4 other terms	19	$26	$26	$1	3%	—	$23 – $27
21	Tricare facility · fee schedule · outpatient · +5 other terms	19	$22	$26.5k	$31.6k	119%	—	$21 – $70.2k
22	Medicare fee schedule · outpatient · +6 other terms	18	$22	$22	$0	0%	—	$22 – $22
23	Highmark fee schedule · outpatient · +6 other terms	16	$30	$132	$1.1k	852%	—	$12 – $17.0k
24	MultiPlan fee schedule · outpatient · +9 other terms	15	$37	$37	$3	8%	—	$22 – $37
25	Wellmark fee schedule · both · +4 other terms	14	$22	$22	—	—	—	$22 – $22

Page 1 of 3 · 57 payers