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)
Florida
Hospital Address Code Price Last Updated
Gulf Breeze Hospital 1110 Gulf Breeze Parkway, Gulf Breeze Q5103 $1,345 [source] 3 years ago
Baptist Hospital 1000 West Moreno St, Pensacola Q5103 $1,345 [source] 3 years ago
Orange Park Medical Center 2001 Kingsley Avenue, Orange Park Q5103 $1,471 [source] 3 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City Q5103 $1,531 [source] 3 years ago
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach Q5103 $1,635 [source] 3 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland Q5103 $1,745 [source] 3 years ago
Jay Hospital 14114 Alabama Street, Jay Q5103 $2,124 [source] 3 years ago
Adventhealth New Smyrna Beach 401 Palmetto St, New Smyrna Beach Q5103 $2,417 [source] 3 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa Q5103 $3,000 [source] 3 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa Q5103 $3,000 [source] 3 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa Q5103 $3,000 [source] 3 years ago
Adventhealth Palm Coast 10987 Sheldon Rd Ste 100, Tampa Q5103 $3,506 [source] 3 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q5103 $3,506 [source] 3 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills Q5103 $3,980 [source] 3 years ago
Adventhealth Zephyrhills 7050 Gall Blvd, Zephyrhills Q5103 $4,001 [source] 3 years ago
Florida Hospital North Pinellas 1395 S Pinellas Ave, Tarpon Springs Q5103 $5,163 [source] 3 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City Q5103 $6,179 [source] 3 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala Q5103 $6,609 [source] 3 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula Q5103 $7,155 [source] 3 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring Q5103 $7,155 [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.