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Pegfilgrastim-bmez (Ziextenzo) Injection

Montana rates for HCPCS Q5120

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

Rates data updated July 2026.

How much does Pegfilgrastim-bmez (Ziextenzo) Injection cost?

$145per 0.5 mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $145 for each 0.5 mg of this drug. The price depends on where it is billed: about $132 from a physician practice, and about $562 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
$132
At a hospital outpatient department
$562

The same drug, in the same amount, costs 327% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$132$132 to $145
FacilityA hospital or hospital-owned outpatient department$562$372 to $64,565

How much rates vary

Facilitymedian $562 · 10th to 90th $316 to $81,283Professionalmedian $132 · 10th to 90th $120 to $151
$100.0$1.0K$10.0K$100.0Kfacility $562professional $132

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$144.54
Typical High
$151.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$64,565.42
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$371.54
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$371.54
Providence
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$120.23
Typical High
$169.82
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23

Where Montana sits

The same service costs 3.2 times more in Delaware than in Florida. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $145 · 12th of 51
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.