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)
Michigan
Hospital Address Code Price Last Updated
St. John Providence 28000 Dequindre Rd, Warren Q9991 $2,654 [source] 3 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester Q9991 $3,013 [source] 3 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield Q9991 $4,616 [source] 3 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren Q9991 $5,179 [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.