Code: Q5106

Description:
Description: Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
RETACRIT BS 10000U NESRD
RETACRIT BS 1000U NESRD
RETACRIT BS 4000U NESRD
RETACRIT BS 40000U NESRD
EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 2000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 10000 UNIT/ML INJECTION SOLUTION
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: 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: 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)
North Carolina
Hospital Address Code Price Last Updated
Frye Regional Medical Center 420 N. Center Street, Hickory Q5106 $9 [source] 4 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle Q5106 $26 [source] 4 years ago
Atrium Health Behavioral Health 501 Billingsley Road , Charlotte Q5106 $26 [source] 4 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro Q5106 $26 [source] 4 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte Q5106 $26 [source] 4 years ago
Atrium Health Pineville 10628 Park Road , Charlotte Q5106 $26 [source] 4 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby Q5106 $26 [source] 4 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte Q5106 $26 [source] 4 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte Q5106 $26 [source] 4 years ago
Atrium Health Union 600 Hospital Drive , Monroe Q5106 $26 [source] 4 years ago
Carolinas Rehabilitation 1100 Blythe Blvd. , Charlotte Q5106 $26 [source] 4 years ago
Atrium Health Cabarrus 920 Church Street North , Concord Q5106 $26 [source] 4 years ago
Adventhealth Hendersonville 100 Hospital Dr, Hendersonville Q5106 $50 [source] 4 years ago
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro Q5106 $424 [source] 4 years ago
Carepartners Rehabilitation Hospital 68 Sweeten Creek Rd, Asheville Q5106 $813 [source] 4 years ago
Wilson Medical Center 1705 Tarboro Street Sw, Wilson Q5106 $890 [source] 4 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro Q5106 $1,213 [source] 4 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro Q5106 $1,213 [source] 4 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville Q5106 $1,213 [source] 4 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington Q5106 $1,213 [source] 4 years ago
Moses Cone Hospital 1131D N Church St, Greensboro Q5106 $1,213 [source] 4 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine Q5106 $3,183 [source] 4 years ago
Angel Medical Center 120 Riverview St, Franklin Q5106 $3,183 [source] 4 years ago
Mcdowell Hospital , Marion Q5106 $3,183 [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.