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)

North Carolina

Hospital	Address	Code	Price	Last Updated
Carepartners Rehabilitation Hospital	68 Sweeten Creek Rd, Asheville	Q5105	$87 [source]	3 years ago
Mcdowell Hospital	, Marion	Q5105	$3,183 [source]	3 years ago
Blue Ridge Regional Hospital	125 Hospital Dr, Spruce Pine	Q5105	$3,183 [source]	3 years ago
Angel Medical Center	120 Riverview St, Franklin	Q5105	$3,183 [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.