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Pegfilgrastim-bmez (Ziextenzo) Injection

Nebraska rates for HCPCS Q5120

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

Rates data updated October 2026.

How much does Ziextenzo (pegfilgrastim-bmez) cost?

$123per 0.5 mg

Typical negotiated rate. In Nebraska, October 2026.

Insurers have agreed to pay about $123 for each 0.5 mg of this drug. The price depends on where it is billed: about $120 from a physician practice, and about $129 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
$120
At a hospital outpatient department
$129

The same drug, in the same amount, costs 7% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$120$29.51 to $141
FacilityA hospital or hospital-owned outpatient department$129$117 to $141

How much rates vary

Facilitymedian $129 · 10th to 90th $98 to $145Professionalmedian $120 · 10th to 90th $28 to $170
$50$100$200$500$1Kfacility $129professional $120

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
$131.83
Median
$131.83
Typical High
$239.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
BCBS Nebraska
Setting
Facility
Modifier
None
Typical Low
$107.15
Median
$128.82
Typical High
$144.54
BCBS Nebraska
Setting
Professional
Modifier
None
Typical Low
$138.04
Median
$144.54
Typical High
$147.91
Cigna
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$134.90
Typical High
$169.82
Medica
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$53.70
Typical High
$1,513.56
Medica
Setting
Professional
Modifier
None
Typical Low
$24.55
Median
$29.51
Typical High
$41.69
Midlands
Setting
Professional
Modifier
None
Typical Low
$30.90
Median
$30.90
Typical High
$223.87
United
Setting
Facility
Modifier
None
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
United
Setting
Professional
Modifier
None
Typical Low
$114.82
Median
$120.23
Typical High
$389.05

Where Nebraska 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.

Nebraska· 42nd of 51

$123

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.