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Pegfilgrastim-bmez (Ziextenzo) Injection

North Carolina 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?

$251per 0.5 mg

Typical negotiated rate. In North Carolina, July 2026.

Insurers have agreed to pay about $251 for each 0.5 mg of this drug. The price depends on where it is billed: about $123 from a physician practice, and about $363 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
$123
At a hospital outpatient department
$363

The same drug, in the same amount, costs 195% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$123$79.43 to $331
FacilityA hospital or hospital-owned outpatient department$363$200 to $646

How much rates vary

Facilitymedian $363 · 10th to 90th $79 to $813Professionalmedian $123 · 10th to 90th $79 to $479
$10.0$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $363professional $123

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
$79.43
Median
$407.38
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$123.03
Typical High
$478.63
BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$229.09
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$234.42
Typical High
$281.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$389.05
Medcost
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$120.23
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$199.53
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$154.88
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56

Where North Carolina 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.

North Carolina $251 · 3rd 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.