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Pegfilgrastim-jmdb (Fulphila) Injection

Kansas rates for HCPCS Q5108

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

Rates data updated July 2026.

Facilitymedian $148 · 10th–90th $87$4070%10%10th90th$148Professionalmedian $112 · 10th–90th $79$2140%20%10th90th$112$50.0$100.0$200.0$500.0

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
$91.20
Median
$234.42
Typical High
$407.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$151.36
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$151.36
Typical High
$151.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$144.54
Typical High
$331.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$112.20
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$109.65
Typical High
$251.19