Code: Q5104

Description:
Description: Injection, infliximab-abda, biosimilar, (renflexis), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
RENFLEXIS BS 10 MG INJ
INFLIXIMAB-ABDA 100 MG INTRAVENOUS SOLUTION
Injection, Renflexis
INFLIXIMAB+AC0-ABDA 10 MG. INJ.
RENFLEXIS 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: Q5103
INFLECTRA BS 10 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)
Georgia
Hospital Address Code Price Last Updated
Memorial Health 4700 Waters Avenue, Savannah Q5104 $360 [source] 3 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville Q5104 $1,229 [source] 3 years ago
Fairview Park Hospital 200 Industrial Boulevard, Dublin Q5104 $1,401 [source] 3 years ago
Memorial Satilla Health 1900 Tebeau St, Waycross Q5104 $1,543 [source] 3 years ago
Eastside Medical Center 1700 Medical Way, Snellville Q5104 $1,686 [source] 3 years ago
Doctors Hospital Of Augusta 3651 Wheeler Rd, Augusta Q5104 $1,974 [source] 3 years ago
Redmond Regional Medical Center 501 Redmond Rd, Rome Q5104 $2,625 [source] 3 years ago
Coliseum Health System 350 Hospital Dr, Macon Q5104 $3,830 [source] 3 years ago
Murray Medical Center, Inc. 104 Hospital Dr, Chatsworth Q5104 $5,887 [source] 3 years ago
Adventist Health System Georgia, Inc 170 Curtis Pkwy Ne, Calhoun Q5104 $5,887 [source] 3 years ago
Adventhealth Gordon 105 Willowbrook Way Se, Calhoun Q5104 $5,887 [source] 3 years ago
Murray County Memorial Hospital Authority 707 Old Dalton Ellijay Rd, Chatsworth Q5104 $5,887 [source] 3 years ago
Adventist Health System Georgia Inc 1035 Red Bud Rd Ne, Calhoun Q5104 $5,887 [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.