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)

Indiana

Hospital	Address	Code	Price	Last Updated
Iu Health University Hospital	550 N University Blvd, Indianapolis	Q5103	$47 [source]	4 years ago
Iu Health Neuroscience Center	362 W 15Th St, Indianapolis	Q5103	$47 [source]	4 years ago
Iu Health Saxony Hospital	13000 E 136Th St,	Q5103	$47 [source]	4 years ago
Iu Health Methodist Hospital	1701 N Senate Blvd, Indianapolis	Q5103	$47 [source]	4 years ago
Iu Health Morgan	2209 John R Wooden Dr, Martinsville	Q5103	$47 [source]	4 years ago
Clark Memorial Health	1220 Missouri Avenue, Jeffersonville	Q5103	$48 [source]	4 years ago
Franciscan Health Indianapolis	, Indianapolis	Q5103	$2,095 [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.