go back

Crizanlizumab-tmca Injection

Iowa rates for HCPCS J0791 · Adakveo

Injection, crizanlizumab-tmca, 5 mg

Rates data updated October 2026.

How much does Adakveo (crizanlizumab) cost?

$129per 5 mg

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $129 for each 5 mg of this drug. The price depends on where it is billed: about $132 from a physician practice, and about $129 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$132
At a hospital outpatient department
$129

The same drug, in the same amount, costs 2% less at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$132$129 to $151
FacilityA hospital or hospital-owned outpatient department$129$129 to $148

How much rates vary

Facilitymedian $129 · 10th to 90th $129 to $155Professionalmedian $132 · 10th to 90th $129 to $195
$1$5$20$100$500facility $129professional $132

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$147.91
Typical High
$194.98
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$74.13
Typical High
$97.72
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$29.51
Typical High
$38.90
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$19.50
Median
$21.88
Typical High
$29.51
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$12.88
Median
$14.79
Typical High
$19.50
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$147.91
Typical High
$147.91
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$74.13
Typical High
$74.13
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$29.51
Typical High
$29.51
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.50
Median
$21.88
Typical High
$21.88
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.88
Median
$14.79
Typical High
$14.79
Cigna
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$154.88
Typical High
$165.96
Hally Health
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$128.82
Typical High
$309.03
Medica
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$154.88
Typical High
$177.83
Medica
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$134.90
Typical High
$316.23
Midlands
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$169.82
Typical High
$169.82
United
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
United
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$138.04
Wellmark
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82

Where Iowa sits

The same service costs 1.6 times more in Texas than in North Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 35th of 51

$129

TX $204NC $129

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.