Code: Q9991

Description:
Description: Injection, buprenorphine extended-release (sublocade), less than or equal to 100 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
BUPRENORPHINE ER 300 MG/1.5 ML SOLUTION,EXTEN.REL.SUBCUTANEOUS SYRINGE
Buprenorph xr 100 mg or less
Related codes:
Code: Q9992
Description: Injection, buprenorphine extended-release (sublocade), greater than 100 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q9993
Description: Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q9995
Description: Injection, emicizumab-kxwh, 0.5 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Massachusetts
Hospital Address Code Price Last Updated
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs Q9991 $7,051 [source] 3 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge Q9991 $7,051 [source] 3 years ago
Massachusetts General Hospital 55 Fruit St, Boston Q9991 $7,051 [source] 3 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich Q9991 $7,051 [source] 3 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton Q9991 $7,051 [source] 3 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem Q9991 $7,051 [source] 3 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket Q9991 $7,051 [source] 3 years ago
Mclean Hospital 115 Mill St, Belmont Q9991 $7,051 [source] 3 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain Q9991 $7,051 [source] 3 years ago
Massachusetts Eye And Ear 243 Charles St, Boston Q9991 $7,051 [source] 3 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown Q9991 $7,051 [source] 3 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston Q9991 $7,051 [source] 3 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls Q9991 $7,051 [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.