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)
Texas
Hospital Address Code Price Last Updated
Ascension Providence 6901 Medical Pkwy, Woodway Q5104 $167 [source] 3 years ago
Texas Health Huguley 11801 South Fwy, Burleson Q5104 $1,284 [source] 3 years ago
Hca Houston Healthcare 3737 Buffalo Speedway Suite 140, Houston Q5104 $1,412 [source] 3 years ago
St. David's Healthcare , Round Rock Q5104 $2,193 [source] 3 years ago
Medical City Frisco 5500 Frisco Square Blvd, Frisco Q5104 $2,306 [source] 3 years ago
Rio Grande Regional Hospital 101 East Ridge Road, Mcallen Q5104 $2,363 [source] 3 years ago
Medical City Lewisville 500 W Main St, Lewisville Q5104 $2,455 [source] 3 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas Q5104 $3,445 [source] 3 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas Q5104 $5,125 [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.