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Crizanlizumab-tmca Injection

Idaho rates for HCPCS J0791 · Adakveo

Injection, crizanlizumab-tmca, 5 mg

Rates data updated October 2026.

How much does Adakveo (crizanlizumab) cost?

$148per 5 mg

Typical negotiated rate. In Idaho, October 2026.

Insurers have agreed to pay about $148 for each 5 mg of this drug. The price depends on where it is billed: about $148 from a physician practice, and about $148 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
$148
At a hospital outpatient department
$148

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$148$129 to $162
FacilityA hospital or hospital-owned outpatient department$148$138 to $162

How much rates vary

Facilitymedian $148 · 10th to 90th $129 to $214Professionalmedian $148 · 10th to 90th $129 to $182
$200facility $148professional $148

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
Professional
Modifier
None
Typical Low
$128.82
Median
$147.91
Typical High
$162.18
BCBS Idaho
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$147.91
Typical High
$213.80
BCBS Idaho
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$151.36
Typical High
$213.80
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$147.91
Typical High
$331.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Moda Health
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$162.18
Typical High
$162.18
Moda Health
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$162.18
Typical High
$162.18
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$147.91
Typical High
$194.98
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$154.88
Typical High
$162.18
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$323.59
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$144.54
Median
$144.54
Typical High
$154.88
Select Health
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$275.42
Select Health
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$186.21
United
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$208.93

Where Idaho 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.

Idaho· 11th of 51

$148

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.