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)
Michigan
Hospital Address Code Price Last Updated
St. John Providence 28000 Dequindre Rd, Warren Q5105 $1 [source] 3 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester Q5105 $2 [source] 3 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield Q5105 $2 [source] 3 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren Q5105 $3 [source] 3 years ago
Dmc Sinai-Grace Hospital 6071 West Outer Drive, Detroit Q5105 $7 [source] 3 years ago
Dmc Hutzel Women's Hospital 3990 John R Street, Detroit Q5105 $8 [source] 3 years ago
Dmc Children's Hospital Of Michigan 3901 Beaubien Blvd., Detroit Q5105 $8 [source] 3 years ago
Midmichigan Medical Center Gratiot 300 E Warwick Dr, Alma Q5105 $1,199 [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.