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)
Minnesota
Hospital Address Code Price Last Updated
Essentia Health St. Mary's-Detroit Lakes 1027 Washington Ave, Detroit Lakes Q5103 $36 [source] 3 years ago
Essentia Health-Virginia 901 9Th St N, Virginia Q5103 $58 [source] 3 years ago
Essentia Health-Duluth (Miller-Dwan Building) 502 E 2Nd St, Duluth Q5103 $63 [source] 3 years ago
Essentia Health-Deer River 115 10Th Ave Ne, Deer River Q5103 $89 [source] 3 years ago
Essentia Health-St. Mary's Medical Center 407 E 3Rd St, Duluth Q5103 $175 [source] 3 years ago
Essentia Health-Fosston 900 Hilligoss Blvd Se, Fosston Q5103 $182 [source] 3 years ago
Essentia Health-St. Joseph's Medical Center (Brainerd) 523 N 3Rd St, Brainerd Q5103 $182 [source] 3 years ago
Essentia Health-Sandstone 705 Lundorff Dr, Sandstone Q5103 $199 [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.