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Crizanlizumab-tmca Injection

Maryland rates for HCPCS J0791 · Adakveo

Injection, crizanlizumab-tmca, 5 mg

Rates data updated July 2026.

How much does Adakveo (crizanlizumab) cost?

$129per 5 mg

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $129 for each 5 mg of this drug. Most negotiated rates run $129 to $135.

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
$129

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $129 · 10th to 90th $129 to $129Professionalmedian $129 · 10th to 90th $129 to $158
$100facility $129professional $129

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$158.49
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$165.96
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$128.82
Typical High
$134.90
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$162.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82

Where Maryland sits

The same service costs 2.6 times more in Delaware than in Hawaii. 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.

Maryland· 37th of 51

$129

DE $316HI $120

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.