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Pegfilgrastim-jmdb (Fulphila) Injection

Wisconsin rates for HCPCS Q5108

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

Rates data updated July 2026.

Facilitymedian $240 · 10th–90th $100$6610%10%10th90th$240Professionalmedian $85 · 10th–90th $79$3240%20%40%10th90th$85$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
$120.23
Median
$380.19
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$1,122.02
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$169.82
Typical High
$177.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$144.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$128.82
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$181.97
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$331.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$371.54
Medica
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$114.82
Typical High
$151.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$100.00
Typical High
$104.71
Network Health
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$144.54
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$331.13
Quartz
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$114.82
Typical High
$323.59
Quartz
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$239.88
Typical High
$1,348.96
Quartz
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$169.82
Security Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$229.09
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$109.65
Typical High
$144.54