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Crizanlizumab-tmca Injection

Tennessee 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 physician fee. In Tennessee, October 2026.

Insurers have agreed to pay about $129 for each 5 mg of this drug. Most negotiated rates run $129 to $145.

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

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $162 · 10th to 90th $145 to $229Professionalmedian $129 · 10th to 90th $129 to $132
$100$200facility $162professional $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
$128.82
Median
$162.18
Typical High
$194.98
Aetna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$134.90
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$64.57
Median
$64.57
Typical High
$67.61
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.70
Median
$25.70
Typical High
$26.92
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$19.50
Median
$19.50
Typical High
$19.95
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.88
Median
$12.88
Typical High
$13.49
BCBS Tennessee
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$131.83
Typical High
$131.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$162.18
Typical High
$229.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$128.82
Typical High
$128.82

Where Tennessee 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.

Tennessee· 31st 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.