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)
Georgia
Hospital Address Code Price Last Updated
Emory University Hospital Decatur 2165 N Decatur Rd , Decatur Q5108 $877 [source] 3 years ago
St. Francis Hospital 2122 Manchester Expressway, Columbus Q5108 $1,000 [source] 3 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville Q5108 $5,857 [source] 3 years ago
Fairview Park Hospital 200 Industrial Boulevard, Dublin Q5108 $8,116 [source] 3 years ago
Eastside Medical Center 1700 Medical Way, Snellville Q5108 $9,116 [source] 3 years ago
Redmond Regional Medical Center 501 Redmond Rd, Rome Q5108 $13,150 [source] 3 years ago
Memorial Satilla Health 1900 Tebeau St, Waycross Q5108 $14,965 [source] 3 years ago
Memorial Health 4700 Waters Avenue, Savannah Q5108 $25,905 [source] 3 years ago
Murray Medical Center, Inc. 104 Hospital Dr, Chatsworth Q5108 $48,546 [source] 3 years ago
Adventist Health System Georgia, Inc 170 Curtis Pkwy Ne, Calhoun Q5108 $48,546 [source] 3 years ago
Adventhealth Gordon 105 Willowbrook Way Se, Calhoun Q5108 $48,546 [source] 3 years ago
Murray County Memorial Hospital Authority 707 Old Dalton Ellijay Rd, Chatsworth Q5108 $48,546 [source] 3 years ago
Adventist Health System Georgia Inc 1035 Red Bud Rd Ne, Calhoun Q5108 $48,546 [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.