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)
Maryland
Hospital Address Code Price Last Updated
Sinai Hospital Of Baltimore 2401 W Belvedere Ave, Baltimore Q5104 $157 [source] 3 years ago
Northwest Hospital Center 5401 Old Court Rd, Randallstown Q5104 $162 [source] 3 years ago
The Good Samaritan Hospital 5601 Loch Raven Blvd, Baltimore Q5104 $207 [source] 3 years ago
The Union Memorial Hospital 201 E University Pkwy, Baltimore Q5104 $275 [source] 3 years ago
Harbor Hospital 3001 S Hanover St, Brooklyn Q5104 $373 [source] 3 years ago
The Johns Hopkins Hospital , Baltimore Q5104 $852 [source] 3 years ago
Upmc Western Maryland 10701 New Georges Creek Rd Sw, Frostburg Q5104 $1,071 [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.