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Crizanlizumab-tmca Injection

Ohio rates for HCPCS J0791 · Adakveo

Injection, crizanlizumab-tmca, 5 mg

Rates data updated July 2026.

How much does Adakveo (crizanlizumab) cost?

$166per 5 mg

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $166 for each 5 mg of this drug. The price depends on where it is billed: about $138 from a physician practice, and about $269 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
$138
At a hospital outpatient department
$269

The same drug, in the same amount, costs 95% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$138$129 to $170
FacilityA hospital or hospital-owned outpatient department$269$158 to $324

How much rates vary

Facilitymedian $269 · 10th to 90th $129 to $398Professionalmedian $138 · 10th to 90th $129 to $282
$200$500facility $269professional $138

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
$128.82
Median
$281.84
Typical High
$363.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$134.90
Typical High
$281.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$239.88
Typical High
$676.08
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$154.88
Typical High
$245.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
CareSource
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$275.42
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$147.91
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$281.84
Typical High
$870.96
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$162.18
Typical High
$186.21
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$218.78
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$141.25

Where Ohio 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.

Ohio· 6th of 51

$166

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.