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)

Texas

Hospital	Address	Code	Price	Last Updated
Nacogdoches Medical Center	4920 Ne Stallings Dr., Nacogdoches	Q5108	$710 [source]	4 years ago
Ascension Providence	6901 Medical Pkwy, Woodway	Q5108	$874 [source]	4 years ago
The Hospitals Of Providence East Campus	3280 Joe Battle Blvd., El Paso	Q5108	$1,715 [source]	4 years ago
The Hospitals Of Providence Memorial Campus	2001 North Oregon, El Paso	Q5108	$2,505 [source]	4 years ago
Texas Health Huguley	11801 South Fwy, Burleson	Q5108	$10,897 [source]	4 years ago
Adventhealth Rollins Brook	608 N Key Ave, Lampasas	Q5108	$11,020 [source]	4 years ago
Texas Children's Hospital	6621 Fannin St Houston, Houston	Q5108	$14,769 [source]	4 years ago
Corpus Christi Medical Center	7101 South Padre Island Dr, Corpus Christi	Q5108	$49,604 [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.