go back

Pegfilgrastim-jmdb (Fulphila) Injection

Connecticut rates for HCPCS Q5108

Injection, pegfilgrastim-jmdb (Fulphila), biosimilar, 0.5 mg

Rates data updated July 2026.

Facilitymedian $135 · 10th–90th $102$2750%10%20%10th90th$135Professionalmedian $79 · 10th–90th $79$1100%50%90th$79$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$194.98
Typical High
$338.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$83.18
Typical High
$85.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$123.03
Typical High
$186.21
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Cigna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$151.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$81.28
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$288.40