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Crizanlizumab-tmca Injection

Pennsylvania 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 Pennsylvania, 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 $132 from a physician practice, and about $200 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
$132
At a hospital outpatient department
$200

The same drug, in the same amount, costs 51% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$132$129 to $141
FacilityA hospital or hospital-owned outpatient department$200$132 to $339

How much rates vary

Facilitymedian $200 · 10th to 90th $129 to $380Professionalmedian $132 · 10th to 90th $129 to $195
$200$500facility $200professional $132

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
$223.87
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$131.83
Typical High
$257.04
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$134.90
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$457.09
Typical High
$489.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$223.87
Typical High
$223.87
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$363.08
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$134.90
Typical High
$338.84
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$151.36
Typical High
$181.97
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$144.54
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$177.83

Where Pennsylvania 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.

Pennsylvania· 22nd 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.