go back

Pegfilgrastim-bmez (Ziextenzo) Injection

North Carolina rates for HCPCS Q5120

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

Rates data updated October 2026.

How much does Ziextenzo (pegfilgrastim-bmez) cost?

$132per 0.5 mg

Typical negotiated rate. In North Carolina, October 2026.

Insurers have agreed to pay about $132 for each 0.5 mg of this drug. The price depends on where it is billed: about $126 from a physician practice, and about $191 from a hospital or other facility.

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
$126
At a hospital outpatient department
$191

The same drug, in the same amount, costs 51% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$126$79.43 to $132
FacilityA hospital or hospital-owned outpatient department$191$155 to $234

How much rates vary

Facilitymedian $191 · 10th to 90th $79 to $282Professionalmedian $126 · 10th to 90th $79 to $155
$100$200facility $191professional $126

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$407.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$151.36
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$39.81
Median
$39.81
Typical High
$66.07
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$15.85
Median
$15.85
Typical High
$26.30
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.02
Median
$12.02
Typical High
$19.95
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$7.94
Median
$7.94
Typical High
$13.18
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$147.91
Median
$190.55
Typical High
$239.88
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$213.80
Typical High
$295.12
Cigna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$389.05
Medcost
Setting
Facility
Modifier
None
Typical Low
$79.43
Median
$79.43
Typical High
$158.49
Medcost
Setting
Professional
Modifier
None
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
United
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$125.89
Typical High
$165.96

Where North Carolina sits

The same service costs 8.7 times more in Texas than in Kansas. 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.

North Carolina· 24th of 51

$132

TX $355KS $40.74

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.