Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
CRIZANLIZUMAB-TMCA 100 MG/10ML IV SOLN
Maple Grove, MN
See all hospitals reporting HCPCS J0791 →Price type
Fairview Maple Grove Surgery Center’s median price of $140 is 20% below the median hospital's median price ($174), higher than 35% of the 1,427 hospitals reporting HCPCS J0791. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Ucare mhcp fee schedule · both | $124 | $124 | — | — | — | $124 – $124 |
| 2 | Blue Cross Blue Shield federal fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 3 | Blue Cross Blue Shield federal fee schedule · both | $127 | $127 | — | — | — | $127 – $127 |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 6 | UnitedHealthcare medicare advantage fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 7 | Medica accessability fee schedule · both | $129 | $129 | — | — | — | $129 – $129 |
| 8 | Medica medicaid fee schedule · both | $129 | $129 | — | — | — | $129 – $129 |
| 9 | Blue Cross Blue Shield commercial fee schedule · both | $129 | $129 | — | — | — | $129 – $129 |
| 10 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 11 | Medica ma non-snp fee schedule · both | $136 | $136 | — | — | — | $136 – $136 |
| 12 | Medica ma snp fee schedule · both | $136 | $136 | — | — | — | $136 – $136 |
| 13 | Medica prime solution fee schedule · both | $136 | $136 | — | — | — | $136 – $136 |
| 14 | Medica vantage fee schedule · both | $136 | $136 | — | — | — | $136 – $136 |
| 15 | Medicaid medicaid fee schedule · both | $138 | $138 | — | — | — | $138 – $138 |
| 16 | Blue Cross Blue Shield medicaid fee schedule · both | $140 | $140 | — | — | — | $140 – $140 |
| 17 | Cigna commercial fee schedule · both | $152 | $152 | $13 | 9% | — | $139 – $165 |
| 18 | Cigna commercial fee schedule · outpatient | $155 | $155 | $13 | 9% | — | $141 – $168 |
| 19 | Ucare ifp with fairview fee schedule · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 20 | UnitedHealthcare commercial fee schedule · both | $233 | $233 | — | — | — | $233 – $233 |
| 21 | Medica bold fee schedule · both | $240 | $240 | — | — | — | $240 – $240 |
| 22 | Medica choice without / elect fee schedule · both | $266 | $266 | — | — | — | $266 – $266 |
| 23 | Medica city of st paul / essential uplan fee schedule · both | $266 | $266 | — | — | — | $266 – $266 |
| 24 | Medica choice with fee schedule · both | $276 | $276 | — | — | — | $276 – $276 |
| 25 | Ucare ifp fee schedule · outpatient | $293 | $293 | — | — | — | $293 – $293 |
Last updated: May 18, 2026
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