Code: Q5108

Description:
Description: Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
FULPHILA BS 0.5 MG INJ
PEGFILGRASTIM-JMDB 6 MG/0.6 ML SUBCUTANEOUS SYRINGE
INJECTION PEGFILGRASTIM-JMDB BIOSIMILAR 0.5 MG
FULPHILA BS 0.5 MG INJJW
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: Q5106
RETACRIT BS 3000U NESRD
Code: Q5107
MVASI BS 100 MG INJ
Code: Q5109
Description: Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
State Average # Hospitals In Database
New York (NY) $269 1
Oklahoma (OK) $389 3
Maryland (MD) $468 3
Minnesota (MN) $589 1
Washington (WA) $716 2
Iowa (IA) $1,048 3
Nebraska (NE) $1,048 11
Michigan (MI) $1,064 24
Tennessee (TN) $1,391 7
California (CA) $1,557 24
West Virginia (WV) $1,798 2
Hawaii (HI) $2,423 6
Wisconsin (WI) $3,185 6
Nevada (NV) $3,228 1
Colorado (CO) $3,228 1
Pennsylvania (PA) $3,312 2
New Mexico (NM) $3,549 2
Massachusetts (MA) $3,687 4
Arizona (AZ) $4,476 1
Virginia (VA) $5,837 5
Alabama (AL) $7,435 1
North Carolina (NC) $9,028 25
Idaho (ID) $10,697 5
Kansas (KS) $11,070 8
Missouri (MO) $11,573 8
Alaska (AK) $11,975 2
Indiana (IN) $12,068 7
Connecticut (CT) $12,424 2
Ohio (OH) $13,562 10
Kentucky (KY) $14,387 5
New Hampshire (NH) $15,220 6
Texas (TX) $15,744 9
South Carolina (SC) $15,967 1
Utah (UT) $23,798 1
Florida (FL) $24,364 49
Georgia (GA) $27,228 19
Louisiana (LA) $27,555 1

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.