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Pegfilgrastim-bmez (Ziextenzo) Injection

Ohio rates for HCPCS Q5120

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

Rates data updated July 2026.

How much does Ziextenzo (pegfilgrastim-bmez) cost?

$174per 0.5 mg

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $174 for each 0.5 mg of this drug. The price depends on where it is billed: about $126 from a physician practice, and about $234 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
$126
At a hospital outpatient department
$234

The same drug, in the same amount, costs 86% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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$126$120 to $162
FacilityA hospital or hospital-owned outpatient department$234$174 to $302

How much rates vary

Facilitymedian $234 · 10th to 90th $120 to $347Professionalmedian $126 · 10th to 90th $120 to $257
$100$200$500facility $234professional $126

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
$120.23
Median
$245.47
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$257.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$223.87
Typical High
$616.60
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$141.25
Typical High
$229.09
CareSource
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
CareSource
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$229.09
Typical High
$389.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$389.05
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$229.09
Typical High
$346.74
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$147.91
Typical High
$173.78
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$131.83
Typical High
$144.54

Where Ohio 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.

Ohio· 7th of 51

$174

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.