Pegfilgrastim-bmez (Ziextenzo) Injection

Rhode Island 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 Rhode Island, 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 $126 from a physician practice, and about $123 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.

Amount givenmg

In a doctor's office or clinic: $126
At a hospital outpatient department: $123

The same drug, in the same amount, costs 2% less 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed by	Who charges it	Typical	Range
Physician practiceA doctor's office, clinic or independent provider	A doctor's office, clinic or independent provider	$126	$120 to $138
FacilityA hospital or hospital-owned outpatient department	A hospital or hospital-owned outpatient department	$123	$120 to $170

How much rates vary

Facilitymedian $123 · 10th to 90th $120 to $257Professionalmedian $126 · 10th to 90th $120 to $138

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

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04	Professional	None	$138.04	$138.04	$138.04
BCBS Rhode Island Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $331.13	Facility	None	$120.23	$120.23	$331.13
BCBS Rhode Island Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23	Professional	None	$120.23	$120.23	$120.23
Cigna Setting Facility Modifier None Typical Low $131.83 Median $169.82 Typical High $257.04	Facility	None	$131.83	$169.82	$257.04
Cigna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83	Professional	None	$131.83	$131.83	$131.83
United Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83	Facility	None	$131.83	$131.83	$131.83
United Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $131.83	Professional	None	$120.23	$120.23	$131.83

Where Rhode Island 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.

Rhode Island· 41st 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.