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)
Ohio
Hospital Address Code Price Last Updated
Cmh Regional Health System 610 W. Main St., Wilmington Q5106 $9 [source] 3 years ago
Euclid Hospital 18901 Lakeshore Blvd., Cleveland Q5106 $1,589 [source] 3 years ago
Cleveland Clinic Main Campus 9500 Euclid Ave, Cleveland Q5106 $1,589 [source] 3 years ago
Medina Hospital 1000 E. Washington St., Medina Q5106 $1,589 [source] 3 years ago
Akron General Lodi Hospital 225 Elyria St., Lodi Q5106 $1,589 [source] 3 years ago
Lutheran Hospital 1730 West 25Th Street, Cleveland Q5106 $1,589 [source] 3 years ago
Fairview Hospital 18101 Lorain Ave., Cleveland Q5106 $1,589 [source] 3 years ago
South Pointe Hospital 20000 Harvard Rd., Cleveland Q5106 $1,589 [source] 3 years ago
Hillcrest Hospital 6780 Mayfield Rd., Cleveland Q5106 $1,589 [source] 3 years ago
Akron General 1 Akron General Ave., Akron Q5106 $1,589 [source] 3 years ago
Marymount Hospital 12300 Mccracken Road, Cleveland Q5106 $1,589 [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.