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)
Texas
Hospital Address Code Price Last Updated
Ascension Providence 6901 Medical Pkwy, Woodway Q5103 $165 [source] 4 years ago
Valley Baptist Medical Center 2101 Pease Street, Harlingen Q5103 $556 [source] 4 years ago
The Hospitals Of Providence East Campus 3280 Joe Battle Blvd., El Paso Q5103 $573 [source] 4 years ago
The Hospitals Of Providence Memorial Campus 2001 North Oregon, El Paso Q5103 $801 [source] 4 years ago
Palestine Regional Medical Center 2900 South Loop 256, Palestine Q5103 $1,193 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg Q5103 $1,249 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen Q5103 $1,249 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen Q5103 $1,249 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson Q5103 $1,514 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas Q5103 $4,067 [source] 4 years ago
Texas Children's Hospital 6621 Fannin St Houston, Houston Q5103 $8,715 [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.