Code: Q5101

Description:
Description: Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
ZARXIO BS 300 MCG INJ
ZARXIO BS 1 MCG INJ
FILGRASTIM-SNDZ 300 MCG/0.5 ML INJECTION SYRINGE
FILGRASTIM-SNDZ 480 MCG/0.8 ML INJECTION SYRINGE
INJECTION FILGRASTIM BIOSIMILAR 1 MICROGRAM
ZARXIO 480 MCG
ZARXIO 300MCG
FILGRASTIM-SNDZ 480MCG SY
FILGRASTIM-SNDZ 300MCG/0.
Related codes:
Code: Q5102
Description: Injection, infliximab, biosimilar, 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q5103
INFLECTRA BS 10 MG INJ
Code: Q5104
RENFLEXIS BS 100 MG INJ
Code: Q5105
RETACRIT BS 100U ESRD
Code: Q5106
RETACRIT BS 3000U NESRD
Code: Q5107
MVASI BS 100 MG INJ
Code: Q5108
FULPHILA BS 6 MG INJ
Code: Q5109
Description: Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Wisconsin
Hospital Address Code Price Last Updated
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin Q5101 $1 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee Q5101 $2 [source] 3 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay Q5101 $32 [source] 3 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette Q5101 $32 [source] 3 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers Q5101 $33 [source] 3 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc Q5101 $36 [source] 3 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton Q5101 $41 [source] 3 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn Q5101 $52 [source] 3 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington Q5101 $52 [source] 3 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh Q5101 $59 [source] 3 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha Q5101 $62 [source] 3 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee Q5101 $71 [source] 3 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy Q5101 $72 [source] 3 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee Q5101 $72 [source] 3 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee Q5101 $72 [source] 3 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford Q5101 $88 [source] 3 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan Q5101 $119 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand Q5101 $453 [source] 3 years ago
Prairie Ridge Health 1515 Park Ave, Columbus Q5101 $632 [source] 3 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.