go back

Pegfilgrastim-bmez (Ziextenzo) Injection

Pennsylvania 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?

$129per 0.5 mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $129 for each 0.5 mg of this drug. The price depends on where it is billed: about $120 from a physician practice, and about $309 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
$120
At a hospital outpatient department
$309

The same drug, in the same amount, costs 157% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 7 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$120$120 to $132
FacilityA hospital or hospital-owned outpatient department$309$120 to $437

How much rates vary

Facilitymedian $309 · 10th to 90th $120 to $1,000Professionalmedian $120 · 10th to 90th $120 to $162
$100.0$500.0$2.0K$10.0K$50.0Kfacility $309professional $120

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
$331.13
Typical High
$1,000.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$162.18
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$128.82
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$416.87
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$208.93
Typical High
$208.93
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$309.03
Typical High
$1,000.00
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$162.18
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$138.04
Typical High
$169.82
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$104.71
Typical High
$104.71
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$131.83
Typical High
$218.78

Where Pennsylvania 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.

Pennsylvania $129 · 23rd 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.