go back

Pegfilgrastim-jmdb (Fulphila) Injection

Utah rates for HCPCS Q5108

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

Rates data updated July 2026.

Facilitymedian $295 · 10th–90th $91$8130%10%20%10th90th$295Professionalmedian $91 · 10th–90th $79$1000%50%10th90th$91$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
$380.19
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$151.36
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$245.47
Typical High
$302.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$85.11
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$79.43
Typical High
$117.49
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$109.65