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Pegfilgrastim-bmez (Ziextenzo) Injection

Washington 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 Washington, 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 $132 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
$132
At a hospital outpatient department
$234

The same drug, in the same amount, costs 78% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$132$120 to $166
FacilityA hospital or hospital-owned outpatient department$234$120 to $363

How much rates vary

Facilitymedian $234 · 10th to 90th $30 to $708Professionalmedian $132 · 10th to 90th $32 to $692
$20.0$50.0$100.0$200.0$500.0$1.0Kfacility $234professional $132

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
$131.83
Median
$239.88
Typical High
$707.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$131.83
Typical High
$1,023.29
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$346.74
Typical High
$691.83
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$177.83
Typical High
$229.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$144.54
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$29.51
Typical High
$34.67
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$323.59
Typical High
$977.24
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$42.66
Typical High
$42.66
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$346.74
Typical High
$1,000.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$131.83
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
$120.23
Typical High
$144.54
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$154.88

Where Washington 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.

Washington $132 · 18th 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.