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)
Michigan
Hospital Address Code Price Last Updated
St. John Providence 28000 Dequindre Rd, Warren Q5104 $74 [source] 3 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester Q5104 $107 [source] 3 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield Q5104 $129 [source] 3 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren Q5104 $144 [source] 3 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn Q5104 $4,326 [source] 3 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn Q5104 $4,326 [source] 3 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn Q5104 $4,326 [source] 3 years ago
Midmichigan Medical Center Gladwin , Gladwin Q5104 $15,633 [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.