Code: Q5109

Description:
Description: Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
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: Q5108
FULPHILA BS 6 MG INJ
California
Hospital Address Code Price Last Updated
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento Q5109 $30 [source] 3 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco Q5109 $30 [source] 3 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills Q5109 $30 [source] 3 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento Q5109 $30 [source] 3 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch Q5109 $30 [source] 3 years ago
Modesto Medical Center 4601 Dale Rd, Modesto Q5109 $30 [source] 3 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville Q5109 $30 [source] 3 years ago
San Leandro Medical Center 2500 Merced St, San Leandro Q5109 $30 [source] 3 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek Q5109 $30 [source] 3 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara Q5109 $30 [source] 3 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose Q5109 $30 [source] 3 years ago
Richmond Medical Center 901 Nevin Ave, Richmond Q5109 $30 [source] 3 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon Q5109 $30 [source] 3 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City Q5109 $30 [source] 3 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo Q5109 $30 [source] 3 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael Q5109 $30 [source] 3 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco Q5109 $30 [source] 3 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno Q5109 $30 [source] 3 years ago
Roseville Medical Center 1600 Eureka Rd, Roseville Q5109 $30 [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.