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Pegfilgrastim-jmdb (Fulphila) Injection

New Hampshire rates for HCPCS Q5108

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

Rates data updated July 2026.

Facilitymedian $141 · 10th–90th $79$3470%10%20%10th90th$141Professionalmedian $79 · 10th–90th $79$1480%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
$79.43
Median
$79.43
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$208.93
Typical High
$346.74
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$100.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$158.49
Typical High
$213.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$131.83
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$100.00
Typical High
$245.47