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)
Ohio
Hospital Address Code Price Last Updated
Euclid Hospital 18901 Lakeshore Blvd., Cleveland Q9991 $5,977 [source] 3 years ago
Cleveland Clinic Main Campus 9500 Euclid Ave, Cleveland Q9991 $5,977 [source] 3 years ago
Medina Hospital 1000 E. Washington St., Medina Q9991 $5,977 [source] 3 years ago
Lutheran Hospital 1730 West 25Th Street, Cleveland Q9991 $5,977 [source] 3 years ago
Fairview Hospital 18101 Lorain Ave., Cleveland Q9991 $5,977 [source] 3 years ago
South Pointe Hospital 20000 Harvard Rd., Cleveland Q9991 $5,977 [source] 3 years ago
Hillcrest Hospital 6780 Mayfield Rd., Cleveland Q9991 $5,977 [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.