Code: Q5104

Description:
Description: Injection, infliximab-abda, biosimilar, (renflexis), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
RENFLEXIS BS 10 MG INJ
INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION
Injection, Renflexis
INFLIXIMAB+AC0-ABDA 10 MG. INJ.
RENFLEXIS 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: Q5103
Description: Injection, infliximab-dyyb, biosimilar, (inflectra), 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)
Nebraska
Hospital Address Code Price Last Updated
Chi Health St. Elizabeth 555 S. 70Th St., Lincoln Q5104 $207 [source] 4 years ago
Chi Health Good Samaritan 10 E 31St St, Kearney Q5104 $207 [source] 4 years ago
Chi Health Lakeside 17201 Wright St, Omaha Q5104 $207 [source] 4 years ago
Chi Health Schuyler 1721 Colfax St, Schuyler Q5104 $207 [source] 4 years ago
Chi Health Midlands 11111 S 84Th St, Papillion Q5104 $207 [source] 4 years ago
Chi Health Plainview 704 N 3Rd St, Plainview Q5104 $207 [source] 4 years ago
Chi Health St. Mary 1301 Grundman Blvd, Nebraska City Q5104 $207 [source] 4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy 7500 Mercy Rd, Omaha Q5104 $207 [source] 4 years ago
Chi Health Immanuel 7101 Newport Ave, Omaha Q5104 $207 [source] 4 years ago
Chi Health St. Francis 2116 W Faidley Ave, Grand Island Q5104 $207 [source] 4 years ago
Chi Health Nebraska Heart 7500 So. 91St St., Lincoln Q5104 $207 [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.