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Crizanlizumab-tmca Injection

Maine rates for HCPCS J0791 · Adakveo

Injection, crizanlizumab-tmca, 5 mg

Rates data updated July 2026.

How much does Adakveo (crizanlizumab) cost?

$135per 5 mg

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $135 for each 5 mg of this drug. The price depends on where it is billed: about $129 from a physician practice, and about $324 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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
At a hospital outpatient department
$324

The same drug, in the same amount, costs 151% more 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$129$129 to $135
FacilityA hospital or hospital-owned outpatient department$324$302 to $324

How much rates vary

Facilitymedian $324 · 10th to 90th $151 to $372Professionalmedian $129 · 10th to 90th $129 to $158
$200facility $324professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$323.59
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$134.90
Typical High
$158.49
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$407.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$147.91
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$158.49
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$323.59
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$141.25
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$128.82
Typical High
$186.21

Where Maine 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.

Maine· 25th of 51

$135

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.