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)
Massachusetts
Hospital Address Code Price Last Updated
Saint Vincent Hospital 123 Summer St., Worcester Q5105 $3 [source] 3 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem Q5105 $4 [source] 3 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain Q5105 $4 [source] 3 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown Q5105 $4 [source] 3 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls Q5105 $4 [source] 3 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs Q5105 $4 [source] 3 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge Q5105 $4 [source] 3 years ago
Massachusetts General Hospital 55 Fruit St, Boston Q5105 $4 [source] 3 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich Q5105 $4 [source] 3 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton Q5105 $4 [source] 3 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket Q5105 $4 [source] 3 years ago
Mclean Hospital 115 Mill St, Belmont Q5105 $4 [source] 3 years ago
Massachusetts Eye And Ear 243 Charles St, Boston Q5105 $4 [source] 3 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston Q5105 $4 [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.