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)
Kentucky
Hospital Address Code Price Last Updated
Meadowview Regional Medical Center 989 Medical Park Drive, Maysville Q5106 $9 [source] 3 years ago
Spring View Hospital 320 Loretto Road, Lebanon Q5106 $86 [source] 3 years ago
Manchester Memorial Hospital 210 Marie Langdon Dr, Manchester Q5106 $132 [source] 3 years ago
Bluegrass Community Hospital 360 Amsden Avenue, Versailles Q5106 $135 [source] 3 years ago
Jackson Purchase Medical Center 1099 Medical Center Circle, Mayfield Q5106 $344 [source] 3 years ago
Georgetown Community Hospital 1140 Lexington Rd, Georgetown Q5106 $839 [source] 3 years ago
Fleming County Hospital 55 Foundation Drive, Flemingsburg Q5106 $3,813 [source] 3 years ago
Logan Memorial Hospital 1625 Nashville Street, Russellville Q5106 $5,750 [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.