Code: Q5108

Description:

Description: Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)

Other Descriptions:

FULPHILA BS 0.5 MG INJ

PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE

INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG

FULPHILA BS 0.5 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: 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: Q5109

Description: Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)

Hawaii

Hospital	Address	Code	Price	Last Updated
Hilo Medical Center	1190 Waianuenue Ave, Hilo	Q5108	$286 [source]	4 years ago
Kona Community Hospital	79-1019 Haukapila St, Kealakekua	Q5108	$286 [source]	4 years ago
Hale Ho'ola Hamakua	100 Keokea Pl, Kula	Q5108	$312 [source]	4 years ago
Kau Hospital	1 Kamani Street, Pahala	Q5108	$312 [source]	4 years ago
Kohala Hospital	54 383 Hospital Road, Kapaau	Q5108	$312 [source]	4 years ago
Kaiser Permanente	3288 Moanalua Rd, Honolulu	Q5108	$13,031 [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.