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)
Tennessee
Hospital Address Code Price Last Updated
Southern Tennessee Regional Health System - Winchester 185 Hospital Road, Winchester Q5106 $9 [source] 3 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville Q5106 $19 [source] 3 years ago
Saint Thomas River Park Hospital, Llc 120 Walnut Commons Ln Ste D, Cookeville Q5106 $20 [source] 3 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury Q5106 $20 [source] 3 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville Q5106 $20 [source] 3 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta Q5106 $20 [source] 3 years ago
Sumner Regional Medical Center 555 Hartsville Pike, Gallatin Q5106 $86 [source] 3 years ago
Riverview Regional Medical Center 158 Hospital Drive, Carthage Q5106 $159 [source] 3 years ago
Starr Regional Medical Center - Athens 1114 West Madison Ave, Athens Q5106 $344 [source] 3 years ago
Starr Regional Medical Center - Etowah 886 Highway 411 North, Etowah Q5106 $344 [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.