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)
Massachusetts
Hospital Address Code Price Last Updated
Metrowest Medical Center - Framingham Union Hospital 115 Lincoln Street, Framingham Q5106 $34 [source] 3 years ago
Metrowest Medical Center - Leonard Morse Hospital 67 Union Street, Natick Q5106 $34 [source] 3 years ago
Saint Vincent Hospital 123 Summer St., Worcester Q5106 $34 [source] 3 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem Q5106 $38 [source] 3 years ago
Massachusetts General Hospital 55 Fruit St, Boston Q5106 $39 [source] 3 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich Q5106 $39 [source] 3 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton Q5106 $39 [source] 3 years ago
Mclean Hospital 115 Mill St, Belmont Q5106 $39 [source] 3 years ago
Massachusetts Eye And Ear 243 Charles St, Boston Q5106 $39 [source] 3 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs Q5106 $55 [source] 3 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket Q5106 $55 [source] 3 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain Q5106 $77 [source] 3 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown Q5106 $77 [source] 3 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls Q5106 $148 [source] 3 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston Q5106 $168 [source] 3 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge Q5106 $1,531 [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.