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)
North Carolina
Hospital Address Code Price Last Updated
Atrium Health Stanly 301 Yadkin St. , Albemarle Q5104 $130 [source] 3 years ago
Atrium Health Behavioral Health 501 Billingsley Road , Charlotte Q5104 $130 [source] 3 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro Q5104 $130 [source] 3 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte Q5104 $130 [source] 3 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby Q5104 $130 [source] 3 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte Q5104 $130 [source] 3 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte Q5104 $130 [source] 3 years ago
Atrium Health Union 600 Hospital Drive , Monroe Q5104 $130 [source] 3 years ago
Atrium Health Cabarrus 920 Church Street North , Concord Q5104 $130 [source] 3 years ago
Carolinas Rehabilitation 1100 Blythe Blvd. , Charlotte Q5104 $130 [source] 3 years ago
Atrium Health Pineville 10628 Park Road , Charlotte Q5104 $130 [source] 3 years ago
Adventhealth Hendersonville 100 Hospital Dr, Hendersonville Q5104 $856 [source] 3 years ago
Mcdowell Hospital , Marion Q5104 $3,775 [source] 3 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine Q5104 $3,775 [source] 3 years ago
Angel Medical Center 120 Riverview St, Franklin Q5104 $3,775 [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.