Code: Q5106

Description:
Description: Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
RETACRIT BS 10000U NESRD
RETACRIT BS 1000U NESRD
RETACRIT BS 4000U NESRD
RETACRIT BS 40000U NESRD
EPOETIN ALFA-EPBX 4,000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 10,000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 40,000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 2000 UNIT/ML INJECTION SOLUTION
EPOETIN ALFA-EPBX 10000 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: Q5105
RETACRIT BS 100U ESRD
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)
State Average # Hospitals In Database
Oregon (OR) $9 1
Washington (WA) $9 2
Hawaii (HI) $24 6
Iowa (IA) $36 4
Nebraska (NE) $45 11
Alaska (AK) $51 2
Connecticut (CT) $55 5
North Dakota (ND) $58 2
New Jersey (NJ) $67 1
Wisconsin (WI) $84 24
Tennessee (TN) $104 10
Alabama (AL) $117 5
Massachusetts (MA) $148 17
New York (NY) $176 1
Oklahoma (OK) $180 4
Maryland (MD) $199 4
Pennsylvania (PA) $257 4
West Virginia (WV) $286 4
Wyoming (WY) $310 2
New Mexico (NM) $322 2
Arizona (AZ) $340 5
Michigan (MI) $414 21
Indiana (IN) $509 16
Delaware (DE) $529 1
Texas (TX) $659 42
Missouri (MO) $762 8
Florida (FL) $967 116
North Carolina (NC) $1,023 27
Virginia (VA) $1,034 4
Kansas (KS) $1,072 9
Nevada (NV) $1,082 16
Kentucky (KY) $1,249 9
South Carolina (SC) $1,273 6
Ohio (OH) $1,446 11
Louisiana (LA) $1,569 3
Idaho (ID) $1,652 8
California (CA) $1,715 23
Georgia (GA) $1,761 20
New Hampshire (NH) $1,861 6
Utah (UT) $2,434 3

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.