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)
Hawaii
Hospital Address Code Price Last Updated
Hilo Medical Center 1190 Waianuenue Ave, Hilo Q5108 $286 [source] 3 years ago
Kona Community Hospital 79-1019 Haukapila St, Kealakekua Q5108 $286 [source] 3 years ago
Hale Ho'ola Hamakua 100 Keokea Pl, Kula Q5108 $312 [source] 3 years ago
Kau Hospital 1 Kamani Street, Pahala Q5108 $312 [source] 3 years ago
Kohala Hospital 54 383 Hospital Road, Kapaau Q5108 $312 [source] 3 years ago
Kaiser Permanente 3288 Moanalua Rd, Honolulu Q5108 $13,031 [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.