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Pegfilgrastim-jmdb (Fulphila) Injection

Oklahoma rates for HCPCS Q5108

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

Rates data updated July 2026.

Facilitymedian $162 · 10th–90th $85$3020%10%10th90th$162Professionalmedian $85 · 10th–90th $79$1120%20%40%10th90th$85$100.0$500.0$2.0K$10.0K$50.0K

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
$85.11
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$89.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$181.97
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$194.98
Typical High
$208.93
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
$117.49
Typical High
$416.87
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$109.65
Typical High
$114.82
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
$104.71
Typical High
$109.65