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)
Texas
Hospital Address Code Price Last Updated
Nacogdoches Medical Center 4920 Ne Stallings Dr., Nacogdoches Q5108 $710 [source] 3 years ago
Ascension Providence 6901 Medical Pkwy, Woodway Q5108 $874 [source] 3 years ago
The Hospitals Of Providence East Campus 3280 Joe Battle Blvd., El Paso Q5108 $1,715 [source] 3 years ago
The Hospitals Of Providence Memorial Campus 2001 North Oregon, El Paso Q5108 $2,505 [source] 3 years ago
Texas Health Huguley 11801 South Fwy, Burleson Q5108 $10,897 [source] 3 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas Q5108 $11,020 [source] 3 years ago
Texas Children's Hospital 6621 Fannin St Houston, Houston Q5108 $14,769 [source] 3 years ago
Corpus Christi Medical Center 7101 South Padre Island Dr, Corpus Christi Q5108 $49,604 [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.