Code: Q5105

Description:
Description: Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for esrd on dialysis), 100 units
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
RETACRIT BS 2000U ESRD
RETACRIT BS 4000U ESRD
RETACRIT BS 10000U ESRD
RETACRIT BS 40000U ESRD
RETACRIT BS 3000U ESRD
EPOETIN ALFA-EPBX 4000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 40000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 3000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 2000 UNIT/ML INJECTION SOLUTION
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: Q5104
RENFLEXIS BS 100 MG INJ
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)
State Average # Hospitals In Database
Oklahoma (OK) $1 2
Tennessee (TN) $2 5
Massachusetts (MA) $4 15
New Hampshire (NH) $4 1
Maryland (MD) $4 3
North Dakota (ND) $6 2
Virginia (VA) $7 2
Nebraska (NE) $11 11
Iowa (IA) $11 3
West Virginia (WV) $31 3
Arizona (AZ) $39 5
Alabama (AL) $108 4
Michigan (MI) $138 9
Wisconsin (WI) $178 4
Indiana (IN) $373 1
Kentucky (KY) $404 3
South Dakota (SD) $499 1
South Carolina (SC) $632 6
Texas (TX) $743 33
Missouri (MO) $762 8
Kansas (KS) $987 7
Nevada (NV) $1,045 15
Florida (FL) $1,082 73
Georgia (GA) $1,525 9
Louisiana (LA) $1,569 3
District of Columbia (DC) $1,589 1
California (CA) $1,645 26
North Carolina (NC) $2,741 7
Idaho (ID) $3,292 4

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.