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Pegfilgrastim-jmdb (Fulphila) Injection

West Virginia rates for HCPCS Q5108

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

Rates data updated July 2026.

Facilitymedian $513 · 10th–90th $79$5130%50%10th$513Professionalmedian $79 · 10th–90th $79$1050%50%90th$79$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
$79.43
Median
$512.86
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$89.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$109.65
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$338.84
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$104.71
Typical High
$269.15