go back

New York rates for HCPCS J0791

Injection, crizanlizumab-tmca, 5 mg

Facilitymedian $166 · 10th–90th $129–$3630%20%10th90th$166Professionalmedian $129 · 10th–90th $129–$1950%50%90th$129$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $173.78 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $134.90 / $218.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $134.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $131.83
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $169.82 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $549.54
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $154.88 / $446.68
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $154.88
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $134.90
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $131.83
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $50,118.72 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $213.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $128.82 / $213.80
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $151.36
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $131.83 / $154.88