Luigi Mangione, the suspect in the murder of UnitedHealthcare CEO Brian Thompson, indicated he would fight extradition to New York at a Pennsylvania court hearing Tuesday, lashing out as he arrived for the proceeding about an “insult to the intelligence of the American people.”

The 26-year-old appeared in Blair County court as a fugitive from justice at around 1:30 p.m., a day after his arrest at a McDonald’s in the city of Altoona after a worker recognized him from widely circulated surveillance video images.

As Mangione arrived clad in an orange jumpsuit, media crews captured him appearing to be upset, struggling with court security officers and yelling to members of the media in mostly inaudible statements, describing something as “completely out of touch” as officers slammed him up against a wall.

Judge David Consiglio denied Mangione bail at the hearing and his local defense lawyer, Thomas Dickey, said he would challenge his extradition, according to Pennsylvania court officials.

After the hearing, a spokesperson for Manhattan District Attorney Alvin Bragg confirmed that his office would seek a governor’s warrant to secure Mangione’s extradition to New York.

Manhattan prosecutors on Monday accused Mangione of second-degree murder, three weapons possession offenses, and criminal possession of a forged instrument, stemming from the CEO’s early morning murder Dec. 4 outside the Hilton Hotel on Sixth Avenue near West 53rd Street. The complaint was filed under seal.

“The defendant is the person shooting and killing Brian Thompson in the above-described surveillance footage,” NYPD Detective Yousef Demes wrote in a Manhattan Criminal Court filing made public earlier Tuesday designated as a felony arrest warrant, describing the widely watched footage of the shooting.

Surveillance video captured him leaving the HI New York City Hostel on Amsterdam Avenue near West 104th Street. at 5:34 a.m. on Dec. 4 wearing the same clothing as the shooter, according to the New York court filing.

He was captured checking into the hostel on Nov. 24, at about 11:20 p.m., with the fake driver’s license containing the name Mark Rosario that he presented to the Pennsylvania officers who arrested him at the McDonald’s just before 10 a.m. Monday, the filing alleges.

Altoona, Pennsylvania, police recovered a semi-automatic pistol with what appears to be a 3D printed loaded receiver with a metal slide and silencer and written admissions about the crime, the filing details.

The 26-year-old was held without bail late Monday after being brought up on charges tied to his arrest more than 200 miles from the scene, alleging he illegally carried a weapon, forgery and related offenses.

Authorities are still determining Mangione’s motive, but his online activity and various interviews with people close to him appear to suggest he was resentful of the health care industry stemming from his experiences with a severe spinal cord industry.

Consiglio said Mangione would remain in detention at a state correctional facility in Huntingdon, Pennsylvania.

The New York Daily News could not immediately reach Dickey for comment.

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