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)
Michigan
Hospital Address Code Price Last Updated
St. John Providence 28000 Dequindre Rd, Warren Q5108 $448 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester Q5108 $630 [source] 4 years ago
Dmc Huron Valley - Sinai Hospital 1 William Carls Drive, Commerce Township Q5108 $687 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield Q5108 $800 [source] 4 years ago
Dmc Sinai-Grace Hospital 6071 West Outer Drive, Detroit Q5108 $866 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren Q5108 $874 [source] 4 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor Q5108 $1,326 [source] 4 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton Q5108 $1,326 [source] 4 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne Q5108 $1,326 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn Q5108 $1,326 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn Q5108 $1,326 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn Q5108 $1,326 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, Q5108 $1,326 [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.