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)
Kentucky
Hospital Address Code Price Last Updated
Spring View Hospital 320 Loretto Road, Lebanon Q5103 $44 [source] 3 years ago
Manchester Memorial Hospital 210 Marie Langdon Dr, Manchester Q5103 $914 [source] 3 years ago
Jackson Purchase Medical Center 1099 Medical Center Circle, Mayfield Q5103 $1,443 [source] 3 years ago
Bourbon Community Hospital 9 Linville Drive, Paris Q5103 $1,618 [source] 3 years ago
Meadowview Regional Medical Center 989 Medical Park Drive, Maysville Q5103 $1,749 [source] 3 years ago
Bluegrass Community Hospital 360 Amsden Avenue, Versailles Q5103 $5,516 [source] 3 years ago
Fleming County Hospital 55 Foundation Drive, Flemingsburg Q5103 $6,538 [source] 3 years ago
Lake Cumberland Regional Hospital 305 Langdon Street, Somerset Q5103 $15,876 [source] 3 years ago
Clark Regional Medical Center 175 Hospital Drive, Winchester Q5103 $19,418 [source] 3 years ago
Georgetown Community Hospital 1140 Lexington Rd, Georgetown Q5103 $48,056 [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.