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)
California
Hospital Address Code Price Last Updated
El Camino Hospital 2500 Grant Rd, Mountain View Q5106 $15 [source] 3 years ago
Fountain Valley Regional Hospital 17100 Euclid At Warner, Fountain Valley Q5106 $35 [source] 3 years ago
Doctors Hospital Of Manteca 1205 East North St., Manteca Q5106 $70 [source] 3 years ago
Emanuel Medical Center 825 Delbon Avenue, Turlock Q5106 $82 [source] 3 years ago
Lakewood Regional Medical Center 3700 East South St., Lakewood Q5106 $89 [source] 3 years ago
Doctors Medical Center Of Modesto 1441 Florida Ave., Modesto Q5106 $97 [source] 3 years ago
California Pacific Medical Center - Van Ness Campus 1101 Van Ness Ave, San Francisco Q5106 $124 [source] 3 years ago
Sutter Roseville Medical Center 1 Medical Plaza Dr, Roseville Q5106 $542 [source] 3 years ago
Palmdale Regional Medical Center 38600 Medical Center Drive, Palmdale Q5106 $566 [source] 3 years ago
Corona Regional Medical Center 800 S. Main Street, Corona Q5106 $932 [source] 3 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula Q5106 $932 [source] 3 years ago
Riverside Community Hospital 4445 Magnolia Ave, Riverside Q5106 $980 [source] 3 years ago
Kentfield Hospital 1125 Sir Francis Drake Blvd., Greenbrae Q5106 $1,324 [source] 3 years ago
Sutter Medical Center Of Sacramento 2825 Capitol Avenue, Sacramento Q5106 $1,575 [source] 3 years ago
West Hills Hospital 7300 Medical Center Dr, West Hills Q5106 $2,573 [source] 3 years ago
Rancho Springs Medical Center 25500 Medical Center Drive, Murrieta Q5106 $3,075 [source] 3 years ago
Inland Valley Medical Center 36485 Inland Valley Drive, Wildomar Q5106 $3,075 [source] 3 years ago
Los Robles Regional Medical Center 215 West Janss Rd, Thousand Oaks Q5106 $3,146 [source] 3 years ago
Regional Medical Center Of San Jose 225 North Jackson Ave, San Jose Q5106 $6,758 [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.