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)

Kansas

Hospital	Address	Code	Price	Last Updated
Ascension Via Christi Hospitals Wichita Inc.	929 N Saint Francis St, Wichita	Q5105	$1 [source]	3 years ago
Mt. Carmel Regional Medical Center, Inc.	1 Mt Carmel Way, Pittsburg	Q5105	$1 [source]	3 years ago
Western Plains Medical Complex	3001 Avenue A, Dodge City	Q5105	$268 [source]	3 years ago
Menorah Medical Center	5721 W. 119Th Street, Shawnee Mission	Q5105	$1,465 [source]	3 years ago
Overland Park Regional Medical Center	10500 Quivira Road, Shawnee Mission	Q5105	$1,853 [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 §180.