Code: Q5103

Description:
Description: Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
INFLECTRA BS 100 MG INJ
INFLIXIMAB-DYYB 100 MG INTRAVENOUS SOLUTION
INFLIXIMAB-DYYB INFLECT (PER 10MG) JW
INFLIXIMAB BIO 10MG JWMOD
INFLIXIMAB BIOSIM 10 MG
INFLIXIMAB BIOSIMIL 10 MG
INFLECTRA BS 10 MG INJJW
Related codes:
Code: Q5101
ZARXIO BS 480 MCG INJ
Code: Q5102
Description: Injection, infliximab, biosimilar, 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
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)
State Average # Hospitals In Database
Oregon (OR) $39 1
New York (NY) $103 1
Washington (WA) $110 3
Vermont (VT) $113 1
Minnesota (MN) $123 8
Maine (ME) $162 1
Nebraska (NE) $221 11
Maryland (MD) $320 3
Idaho (ID) $323 5
Oklahoma (OK) $376 4
North Dakota (ND) $380 3
Hawaii (HI) $533 6
Alabama (AL) $543 3
California (CA) $664 31
Wisconsin (WI) $705 22
Tennessee (TN) $742 10
Indiana (IN) $867 12
Michigan (MI) $938 136
Iowa (IA) $1,018 4
Illinois (IL) $1,027 1
Connecticut (CT) $1,071 3
Delaware (DE) $1,136 1
Kansas (KS) $1,215 5
Pennsylvania (PA) $1,254 1
West Virginia (WV) $1,578 4
Massachusetts (MA) $1,685 11
Texas (TX) $1,882 12
New Mexico (NM) $1,908 2
North Carolina (NC) $1,937 28
Colorado (CO) $3,061 1
Ohio (OH) $3,408 1
Florida (FL) $3,739 33
Nevada (NV) $3,804 10
New Hampshire (NH) $3,967 3
Georgia (GA) $5,113 11
Virginia (VA) $5,975 3
Kentucky (KY) $9,281 11
Utah (UT) $17,913 1
Arizona (AZ) $21,259 3

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.