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)
Michigan
Hospital Address Code Price Last Updated
St. John Providence 28000 Dequindre Rd, Warren Q5103 $72 [source] 3 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak Q5103 $83 [source] 3 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak Q5103 $83 [source] 3 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak Q5103 $83 [source] 3 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak Q5103 $83 [source] 3 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak Q5103 $83 [source] 3 years ago
Oakwood Healthcare, Inc. 5450 Fort St, Trenton Q5103 $83 [source] 3 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak Q5103 $83 [source] 3 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak Q5103 $83 [source] 3 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak Q5103 $83 [source] 3 years ago
Mclaren Bay Region 1900 Columbus Ave, Bay City Q5103 $95 [source] 3 years ago
Mclaren Bay Special Care Hospital 3250 E Midland Rd Suite 1, Bay City Q5103 $95 [source] 3 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester Q5103 $98 [source] 3 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield Q5103 $125 [source] 3 years ago
Mclaren Oakland 50 N Perry St, Pontiac Q5103 $130 [source] 3 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren Q5103 $140 [source] 3 years ago
Dmc Children's Hospital Of Michigan 3901 Beaubien Blvd., Detroit Q5103 $176 [source] 3 years ago
Dmc Huron Valley - Sinai Hospital 1 William Carls Drive, Commerce Township Q5103 $176 [source] 3 years ago
Mclaren Northern Michigan 416 Connable Ave, Petoskey Q5103 $219 [source] 3 years ago
Mclaren Flint 401 S Ballenger Hwy, Flint Q5103 $231 [source] 3 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington Q5103 $358 [source] 3 years ago
Oakwood Healthcare, Inc. 10000 Telegraph Rd, Taylor Q5103 $437 [source] 3 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak Q5103 $437 [source] 3 years ago
Botsford General Hospital 28050 Grand River Ave, Farmington Q5103 $624 [source] 3 years ago
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe Q5103 $624 [source] 3 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant Q5103 $866 [source] 3 years ago
Mclaren Thumb Region 1100 S Van Dyke Rd, Bad Axe Q5103 $1,895 [source] 3 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy Q5103 $2,032 [source] 3 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn Q5103 $2,032 [source] 3 years ago
William Beaumont Hospital 44201 Dequindre, Troy Q5103 $2,032 [source] 3 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn Q5103 $2,032 [source] 3 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn Q5103 $2,032 [source] 3 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy Q5103 $2,032 [source] 3 years ago
Oakwood Healthcare Inc Beaumont Service Center, Q5103 $2,129 [source] 3 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne Q5103 $2,129 [source] 3 years ago
Mclaren Caro Region 401 N Hooper St, Caro Q5103 $2,305 [source] 3 years ago
Up Health System – Marquette 580 West College Avenue, Marquette Q5103 $11,354 [source] 3 years ago
Midmichigan Medical Center Gratiot 300 E Warwick Dr, Alma Q5103 $12,840 [source] 3 years ago
Midmichigan Medical Center Gladwin , Gladwin Q5103 $14,727 [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 §180.