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)

Texas

Hospital	Address	Code	Price	Last Updated
Ascension Providence	6901 Medical Pkwy, Woodway	Q5104	$167 [source]	4 years ago
Texas Health Huguley	11801 South Fwy, Burleson	Q5104	$1,284 [source]	4 years ago
Hca Houston Healthcare	3737 Buffalo Speedway Suite 140, Houston	Q5104	$1,412 [source]	4 years ago
St. David's Healthcare	, Round Rock	Q5104	$2,193 [source]	4 years ago
Medical City Frisco	5500 Frisco Square Blvd, Frisco	Q5104	$2,306 [source]	4 years ago
Rio Grande Regional Hospital	101 East Ridge Road, Mcallen	Q5104	$2,363 [source]	4 years ago
Medical City Lewisville	500 W Main St, Lewisville	Q5104	$2,455 [source]	4 years ago
Adventhealth Rollins Brook	608 N Key Ave, Lampasas	Q5104	$3,445 [source]	4 years ago
Medical City Dallas	13155 Noel Rd. Suite 200, Dallas	Q5104	$5,125 [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.