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)
Michigan
Hospital Address Code Price Last Updated
St. John Providence 28000 Dequindre Rd, Warren Q5106 $14 [source] 3 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester Q5106 $20 [source] 3 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield Q5106 $24 [source] 3 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren Q5106 $27 [source] 3 years ago
Dmc Huron Valley - Sinai Hospital 1 William Carls Drive, Commerce Township Q5106 $35 [source] 3 years ago
Dmc Sinai-Grace Hospital 6071 West Outer Drive, Detroit Q5106 $35 [source] 3 years ago
Mclaren Oakland 50 N Perry St, Pontiac Q5106 $67 [source] 3 years ago
Dmc Detroit Receiving Hospital 4201 St. Antoine Blvd, Detroit Q5106 $77 [source] 3 years ago
Dmc Children's Hospital Of Michigan 3901 Beaubien Blvd., Detroit Q5106 $77 [source] 3 years ago
Dmc Hutzel Women's Hospital 3990 John R Street, Detroit Q5106 $214 [source] 3 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant Q5106 $257 [source] 3 years ago
Up Health System – Marquette 580 West College Avenue, Marquette Q5106 $609 [source] 3 years ago
Midmichigan Medical Center Gladwin , Gladwin Q5106 $808 [source] 3 years ago
Oakwood Healthcare, Inc. 33155 Annapolis St, Wayne Q5106 $818 [source] 3 years ago
Oakwood Healthcare Inc Beaumont Service Center, Q5106 $818 [source] 3 years ago
Midmichigan Medical Center Gratiot 300 E Warwick Dr, Alma Q5106 $2,400 [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.