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Crizanlizumab-tmca Injection

North Carolina rates for HCPCS J0791 · Adakveo

Injection, crizanlizumab-tmca, 5 mg

Rates data updated July 2026.

How much does Adakveo (crizanlizumab) cost?

$132per 5 mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $132 for each 5 mg of this drug. The price depends on where it is billed: about $129 from a physician practice, and about $155 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
$155

The same drug, in the same amount, costs 20% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$126 to $158
FacilityA hospital or hospital-owned outpatient department$155$126 to $240

How much rates vary

Facilitymedian $155 · 10th to 90th $126 to $275Professionalmedian $129 · 10th to 90th $126 to $240
$200facility $155professional $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
$125.89
Median
$144.54
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$147.91
Medcost
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$128.82
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$213.80
Typical High
$239.88
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$169.82
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$645.65

Where North Carolina 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.

North Carolina· 33rd of 51

$132

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.