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Pegfilgrastim-bmez (Ziextenzo) Injection

Connecticut rates for HCPCS Q5120

Injection, pegfilgrastim-bmez (ZIEXTENZO), biosimilar, 0.5 mg

Rates data updated July 2026.

How much does Ziextenzo (pegfilgrastim-bmez) cost?

$162per 0.5 mg

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $162 for each 0.5 mg of this drug. The price depends on where it is billed: about $120 from a physician practice, and about $204 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 0.5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$120
At a hospital outpatient department
$204

The same drug, in the same amount, costs 70% more at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$120$120 to $123
FacilityA hospital or hospital-owned outpatient department$204$174 to $324

How much rates vary

Facilitymedian $204 · 10th to 90th $155 to $355Professionalmedian $120 · 10th to 90th $120 to $132
$200facility $204professional $120

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$295.12
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$123.03
Typical High
$125.89
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$186.21
Typical High
$281.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$169.82
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$363.08

Where Connecticut sits

The same service costs 3.2 times more in Delaware than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Connecticut· 9th of 51

$162

DE $389FL $120

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.