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)
North Carolina
Hospital Address Code Price Last Updated
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro Q5103 $42 [source] 3 years ago
Harris Regional Hospital 68 Hospital Road, Sylva Q5103 $44 [source] 3 years ago
Frye Regional Medical Center 420 N. Center Street, Hickory Q5103 $44 [source] 3 years ago
Atrium Health Stanly 301 Yadkin St. , Albemarle Q5103 $111 [source] 3 years ago
Atrium Health Pineville 10628 Park Road , Charlotte Q5103 $111 [source] 3 years ago
Carolinas Rehabilitation 1100 Blythe Blvd. , Charlotte Q5103 $111 [source] 3 years ago
Atrium Health Cabarrus 920 Church Street North , Concord Q5103 $111 [source] 3 years ago
Atrium Health Union 600 Hospital Drive , Monroe Q5103 $111 [source] 3 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte Q5103 $111 [source] 3 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte Q5103 $111 [source] 3 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby Q5103 $111 [source] 3 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte Q5103 $111 [source] 3 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro Q5103 $111 [source] 3 years ago
Atrium Health Behavioral Health 501 Billingsley Road , Charlotte Q5103 $111 [source] 3 years ago
Rutherford Regional Health System 288 S. Ridgecrest Avenue, Rutherfordton Q5103 $219 [source] 3 years ago
Adventhealth Hendersonville 100 Hospital Dr, Hendersonville Q5103 $1,008 [source] 3 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington Q5103 $1,851 [source] 3 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville Q5103 $1,851 [source] 3 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro Q5103 $1,851 [source] 3 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro Q5103 $1,851 [source] 3 years ago
Moses Cone Hospital 1131D N Church St, Greensboro Q5103 $1,851 [source] 3 years ago
Mcdowell Hospital , Marion Q5103 $5,962 [source] 3 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine Q5103 $5,962 [source] 3 years ago
Angel Medical Center 120 Riverview St, Franklin Q5103 $5,962 [source] 3 years ago
Wilson Medical Center 1705 Tarboro Street Sw, Wilson Q5103 $6,630 [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.