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Pegfilgrastim-jmdb (Fulphila) Injection

Michigan rates for HCPCS Q5108

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

Rates data updated July 2026.

Facilitymedian $158 · 10th–90th $81$3980%10%10th90th$158Professionalmedian $81 · 10th–90th $76$2400%20%40%10th90th$81$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
$81.28
Median
$158.49
Typical High
$398.11
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$81.28
Typical High
$239.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$162.18
Typical High
$323.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$338.84
Typical High
$338.84
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$208.93
Typical High
$269.15
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$104.71
Typical High
$141.25
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$109.65
Typical High
$131.83