Pegfilgrastim-bmez (Ziextenzo) injection

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PEGFILGRASTIM-BMEZ 6 MG/0.6ML SUBCU SOSY

Payers reporting HCPCS Q5120

Payer pricing summary

Low

$30

Average

$2.5k

Median

$1.4k

High

$10.8k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +22 other terms	612	$111	$466	$1.8k	391%	—	$1 – $20.1k
2	Aetna fee schedule · outpatient · +22 other terms	410	$42	$939	$3.1k	327%	—	$1 – $21.6k
3	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	366	$196	$695	$1.4k	204%	—	$1 – $14.2k
4	Humana fee schedule · outpatient · +21 other terms	341	$30	$820	$2.6k	322%	—	$1 – $14.7k
5	Cigna fee schedule · outpatient · +20 other terms	340	$53	$750	$2.4k	317%	—	$22 – $15.7k
6	Molina fee schedule · outpatient · +20 other terms	140	$49	$513	$1.4k	265%	—	$1 – $8.5k
7	WellCare fee schedule · outpatient · +11 other terms	128	$31	$300	$1.1k	351%	—	$23 – $5.5k
8	Anthem fee schedule · outpatient · +20 other terms	125	$164	$554	$1.7k	298%	—	$23 – $14.1k
9	Caresource fee schedule · outpatient · +12 other terms	81	$39	$261	$941	361%	—	$1 – $11.0k
10	Kaiser fee schedule · outpatient · +16 other terms	78	$179	$977	$2.7k	277%	—	$29 – $14.7k
11	Ambetter facility · fee schedule · outpatient · +12 other terms	71	$73	$131	$111	84%	—	$25 – $610
12	Devoted fee schedule · outpatient · +11 other terms	62	$30	$29	$2	7%	—	$25 – $32
13	MultiPlan fee schedule · outpatient · +12 other terms	57	$13.3k	$8.9k	$7.7k	87%	—	$28 – $22.0k
14	Medicare fee schedule · outpatient · +10 other terms	35	$30	$32	$25	77%	—	$1 – $132
15	Optum fee schedule · outpatient · +14 other terms	35	$30	$3.6k	$5.5k	151%	—	$27 – $17.1k
16	Medica fee schedule · outpatient · +14 other terms	34	$2.2k	$4.0k	$5.1k	127%	—	$25 – $14.3k
17	Bcbs Tx fee schedule · outpatient · +3 other terms	31	$1.3k	$1.2k	$634	53%	—	$23 – $2.4k
18	Highmark facility · fee schedule · outpatient · +13 other terms	30	$114	$337	$463	137%	—	$25 – $2.2k
19	Clover fee schedule · outpatient · +5 other terms	29	$29	$52	$36	68%	—	$27 – $119
20	Oscar facility · fee schedule · outpatient · +11 other terms	28	$54	$88	$103	117%	—	$32 – $642
21	Amerihealth Caritas facility · fee schedule · outpatient · +7 other terms	27	$33	$284	$858	302%	—	$30 – $3.8k
22	Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms	27	$204	$208	$83	40%	—	$114 – $330
23	Aetna Better Health fee schedule · outpatient · +10 other terms	22	$224	$214	$138	64%	—	$30 – $384
24	Superior Healthplan facility · fee schedule · outpatient · +4 other terms	22	$126	$117	$21	18%	—	$48 – $126
25	Medical Mutual facility · fee schedule · outpatient · +6 other terms	21	$109	$122	$85	70%	—	$30 – $425

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