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)
Nevada
Hospital Address Code Price Last Updated
Mountainview Hospital 3100 N Tenaya Way, Las Vegas Q5103 $26 [source] 3 years ago
Sunrise Hospital & Medical Center 3186 S Maryland Pkwy, Las Vegas Q5103 $2,621 [source] 3 years ago
Northeastern Nevada Regional Hospital 2001 Errecart Boulevard, Q5103 $2,828 [source] 3 years ago
Henderson Hospital 1050 West Galleria Drive, Henderson Q5103 $5,314 [source] 3 years ago
Desert Springs Hospital 2075 E Flamingo Rd, Las Vegas Q5103 $5,845 [source] 3 years ago
Spring Valley Medical Center 5400 S Rainbow Blvd, Las Vegas Q5103 $5,845 [source] 3 years ago
Southern Hills Hospital & Medical Center 9300 W Sunset Rd, Las Vegas Q5103 $6,458 [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.