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)

Iowa

Hospital	Address	Code	Price	Last Updated
Ottumwa Regional Health Center	1001 Pennsylvania Avenue, Ottumwa	Q5106	$9 [source]	3 years ago
Chi Health Mercy	1409 Clark St, Des Moines	Q5106	$45 [source]	3 years ago
Chi Health Missouri Valley	809 Elm St, Missouri Valley	Q5106	$45 [source]	3 years ago
Chi Health Mercy Corning	601 Rosary Dr, Corning	Q5106	$45 [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.