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)
Tennessee
Hospital Address Code Price Last Updated
Southern Tennessee Regional Health System - Winchester 185 Hospital Road, Winchester Q5103 $44 [source] 3 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville Q5103 $101 [source] 3 years ago
Saint Thomas River Park Hospital, Llc 120 Walnut Commons Ln Ste D, Cookeville Q5103 $103 [source] 3 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury Q5103 $103 [source] 3 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville Q5103 $103 [source] 3 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta Q5103 $103 [source] 3 years ago
St. Jude Children's Research Hospital , Memphis Q5103 $132 [source] 3 years ago
Starr Regional Medical Center - Athens 1114 West Madison Ave, Athens Q5103 $2,055 [source] 3 years ago
Starr Regional Medical Center - Etowah 886 Highway 411 North, Etowah Q5103 $2,055 [source] 3 years ago
Sumner Regional Medical Center 555 Hartsville Pike, Gallatin Q5103 $2,623 [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.