Code: Q5103

Description:

Description: Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)

Other Descriptions:

INFLECTRA BS 100 MG INJ

INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION

INFLIXIMAB-DYYB INFLECT (PER 10MG) JW

INFLIXIMAB BIO 10MG JWMOD

INFLIXIMAB BIOSIM 10 MG

INFLIXIMAB BIOSIMIL 10 MG

INFLECTRA BS 10 MG INJJW

Related codes:

Code: Q5101

Description: Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram
HCPCS Category: Temporary codes (limited use and guidelines specific)

Code: Q5102

Description: Injection, infliximab, biosimilar, 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)

Georgia

Hospital	Address	Code	Price	Last Updated
St. Francis Hospital	2122 Manchester Expressway, Columbus	Q5103	$171 [source]	4 years ago
Emory University Hospital	1364 Clifton Rd Ne, Atlanta	Q5103	$229 [source]	4 years ago
Emory University Hospital Decatur	2165 N Decatur Rd , Decatur	Q5103	$238 [source]	4 years ago
Murray Medical Center, Inc.	104 Hospital Dr, Chatsworth	Q5103	$6,950 [source]	4 years ago
Adventist Health System Georgia, Inc	170 Curtis Pkwy Ne, Calhoun	Q5103	$6,950 [source]	4 years ago
Adventhealth Gordon	105 Willowbrook Way Se, Calhoun	Q5103	$6,950 [source]	4 years ago
Murray County Memorial Hospital Authority	707 Old Dalton Ellijay Rd, Chatsworth	Q5103	$6,950 [source]	4 years ago
Adventist Health System Georgia Inc	1035 Red Bud Rd Ne, Calhoun	Q5103	$6,950 [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 §180.