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Crizanlizumab-tmca Injection

South Carolina rates for HCPCS J0791 · Adakveo

Injection, crizanlizumab-tmca, 5 mg

Rates data updated October 2026.

How much does Adakveo (crizanlizumab) cost?

$145per 5 mg

Typical negotiated rate. In South Carolina, October 2026.

Insurers have agreed to pay about $145 for each 5 mg of this drug. The price depends on where it is billed: about $129 from a physician practice, and about $178 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
$178

The same drug, in the same amount, costs 38% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$129 to $148
FacilityA hospital or hospital-owned outpatient department$178$148 to $186

How much rates vary

Facilitymedian $178 · 10th to 90th $112 to $309Professionalmedian $129 · 10th to 90th $129 to $148
$100$200facility $178professional $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
$134.90
Median
$134.90
Typical High
$134.90
Aetna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$134.90
Typical High
$134.90
BCBS South Carolina
Setting
Facility
Modifier
None
Typical Low
$109.65
Median
$177.83
Typical High
$302.00
BCBS South Carolina
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$151.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$229.09
Typical High
$316.23
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
Medcost
Setting
Facility
Modifier
None
Typical Low
$134.90
Median
$162.18
Typical High
$371.54
United
Setting
Facility
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$281.84
United
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$144.54

Where South 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.

South Carolina· 13th of 51

$145

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.