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)
Ohio
Hospital Address Code Price Last Updated
Cmh Regional Health System 610 W. Main St., Wilmington Q5108 $341 [source] 3 years ago
Euclid Hospital 18901 Lakeshore Blvd., Cleveland Q5108 $15,031 [source] 3 years ago
Cleveland Clinic Main Campus 9500 Euclid Ave, Cleveland Q5108 $15,031 [source] 3 years ago
Medina Hospital 1000 E. Washington St., Medina Q5108 $15,031 [source] 3 years ago
Akron General Lodi Hospital 225 Elyria St., Lodi Q5108 $15,031 [source] 3 years ago
Fairview Hospital 18101 Lorain Ave., Cleveland Q5108 $15,031 [source] 3 years ago
South Pointe Hospital 20000 Harvard Rd., Cleveland Q5108 $15,031 [source] 3 years ago
Hillcrest Hospital 6780 Mayfield Rd., Cleveland Q5108 $15,031 [source] 3 years ago
Akron General 1 Akron General Ave., Akron Q5108 $15,031 [source] 3 years ago
Marymount Hospital 12300 Mccracken Road, Cleveland Q5108 $15,031 [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.