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Pegfilgrastim-bmez (Ziextenzo) Injection

Texas rates for HCPCS Q5120

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

Rates data updated July 2026.

How much does Ziextenzo (pegfilgrastim-bmez) cost?

$132per 0.5 mg

Typical negotiated rate. In Texas, July 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 $120 from a physician practice, and about $355 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
$355

The same drug, in the same amount, costs 195% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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 $120
FacilityA hospital or hospital-owned outpatient department$355$166 to $933

How much rates vary

Facilitymedian $355 · 10th to 90th $120 to $1,413Professionalmedian $120 · 10th to 90th $120 to $132
$50$100$200$500$1K$2Kfacility $355professional $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
$44.67
Median
$123.03
Typical High
$331.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$158.49
BCBS
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$891.25
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$28.18
Median
$28.18
Typical High
$28.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$302.00
Typical High
$812.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,513.56
Typical High
$1,513.56
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$173.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$120.23
Typical High
$120.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$24.55
Typical High
$28.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$380.19
Providence
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
United
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$199.53
United
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$131.83
Typical High
$131.83
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$120.23
Typical High
$162.18

Where Texas 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.

Texas· 19th of 51

$132

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.