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Crizanlizumab-tmca Injection

North Carolina 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 North Carolina, 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 $129 from a physician practice, and about $170 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
$129
At a hospital outpatient department
$170

The same drug, in the same amount, costs 32% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$129$126 to $129
FacilityA hospital or hospital-owned outpatient department$170$148 to $251

How much rates vary

Facilitymedian $170 · 10th to 90th $126 to $269Professionalmedian $129 · 10th to 90th $126 to $155
$100$200facility $170professional $129

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
$125.89
Median
$125.89
Typical High
$154.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$141.25
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$63.10
Median
$63.10
Typical High
$67.61
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.12
Median
$25.12
Typical High
$26.92
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$18.62
Median
$18.62
Typical High
$19.95
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.59
Median
$12.59
Typical High
$13.49
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$186.21
Typical High
$269.15
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$194.98
Typical High
$295.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$147.91
Medcost
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$154.88
Medcost
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$169.82

Where North Carolina 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.

North Carolina· 51st 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.