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Pegfilgrastim-jmdb (Fulphila) Injection

Idaho rates for HCPCS Q5108

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

Rates data updated July 2026.

Facilitymedian $91 · 10th–90th $78$5130%20%10th90th$91Professionalmedian $89 · 10th–90th $79$2820%20%40%10th90th$89$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
$79.43
Median
$354.81
Typical High
$602.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$89.13
Typical High
$281.84
BCBS
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$190.55
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$85.11
Typical High
$177.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$112.20
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$109.65
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$87.10
Typical High
$100.00
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$186.21
Typical High
$416.87
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$95.50
Typical High
$95.50
Select Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$162.18
Select Health
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$109.65