Code: Q5102

Description:
Description: Injection, infliximab, biosimilar, 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
INFLIXIMAB-DYYB 100 MG RECON SOLN 1 EACH
INFLIXIMAB-DYYB 100 MG VIAL
Related codes:
Code: Q5101
Description: Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q5103
Description: Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q5104
Description: Injection, infliximab-abda, biosimilar, (renflexis), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q5105
Description: Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q5106
Description: Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q5107
Description: Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q5108
Description: Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q5109
Description: Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Indiana
Hospital Address Code Price Last Updated
Ascension St. Vincent Warrick 1116 Millis Ave, Boonville Q5102 $268 [source] 4 years ago
Ascension St. Vincent Hospital 2001 W 86Th St, Indianapolis Q5102 $268 [source] 4 years ago
Ascension Medical Group St. Vincent 301 Henry St, North Vernon Q5102 $268 [source] 4 years ago
Ascension St. Vincent Evansville 3700 Washington Ave, Evansville Q5102 $268 [source] 4 years ago
Ascension St. Vincent Williamsport 412 N Monroe St, Williamsport Q5102 $268 [source] 4 years ago
St Vincent Salem Hospital Inc 911 N Shelby St, Salem Q5102 $268 [source] 4 years ago
St. Vincent Mercy Hospital 1331 S A St, Elwood Q5102 $268 [source] 4 years ago
Ascension St. Vincent Dunn 1600 23Rd St, Bedford Q5102 $268 [source] 4 years ago
Ascension St. Vincent Randolph 473 E Greenville Ave, Winchester Q5102 $268 [source] 4 years ago
Ascension St. Vincent Carmel 13500 N Meridian St, Carmel Q5102 $268 [source] 4 years ago
Ascension St. Vincent Anderson 2015 Jackson St, Anderson Q5102 $268 [source] 4 years ago
Ascension St. Vincent Heart Center 10580 N Meridian St, Indianapolis Q5102 $268 [source] 4 years ago
St. Vincent Clay Hospital, Inc 1206 E National Ave, Brazil Q5102 $6,012 [source] 4 years ago
Ascension St Vincent Fishers 13861 Olio Road, Q5102 $6,012 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.