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)
Georgia
Hospital Address Code Price Last Updated
Memorial Health 4700 Waters Avenue, Savannah Q5105 $7 [source] 3 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville Q5105 $288 [source] 3 years ago
Redmond Regional Medical Center 501 Redmond Rd, Rome Q5105 $363 [source] 3 years ago
Fairview Park Hospital 200 Industrial Boulevard, Dublin Q5105 $1,149 [source] 3 years ago
Memorial Satilla Health 1900 Tebeau St, Waycross Q5105 $1,521 [source] 3 years ago
Coliseum Health System 350 Hospital Dr, Macon Q5105 $2,563 [source] 3 years ago
Doctors Hospital Of Augusta 3651 Wheeler Rd, Augusta Q5105 $6,310 [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.