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)
Nevada
Hospital Address Code Price Last Updated
Renown Regional Medical Center 1155 Mill Street, Reno Q5106 $106 [source] 3 years ago
Renown South Meadows Medical Center 10101 Double R Blvd, Reno Q5106 $106 [source] 3 years ago
Valley Hospital Medical Center 620 Shadow Lane, Las Vegas Q5106 $228 [source] 3 years ago
Summerlin Hospital Medical Center 657 Town Center Dr, Las Vegas Q5106 $290 [source] 3 years ago
Northern Nevada Medical Center 2375 E Prater Way, Sparks Q5106 $330 [source] 3 years ago
Northeastern Nevada Regional Hospital 2001 Errecart Boulevard, Q5106 $344 [source] 3 years ago
Centennial Hills Hospital Medical Center 6900 N Durango Drive, Las Vegas Q5106 $570 [source] 3 years ago
Mountainview Hospital 3100 N Tenaya Way, Las Vegas Q5106 $618 [source] 3 years ago
Southern Hills Hospital & Medical Center 9300 W Sunset Rd, Las Vegas Q5106 $787 [source] 3 years ago
Sunrise Hospital & Medical Center 3186 S Maryland Pkwy, Las Vegas Q5106 $1,750 [source] 3 years ago
Henderson Hospital 1050 West Galleria Drive, Henderson Q5106 $2,726 [source] 3 years ago
Desert Springs Hospital 2075 E Flamingo Rd, Las Vegas Q5106 $2,726 [source] 3 years ago
Spring Valley Medical Center 5400 S Rainbow Blvd, Las Vegas Q5106 $3,579 [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.