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)
Tennessee
Hospital Address Code Price Last Updated
Saint Thomas River Park Hospital, Llc 120 Walnut Commons Ln Ste D, Cookeville Q9991 $3,582 [source] 3 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury Q9991 $3,582 [source] 3 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville Q9991 $3,582 [source] 3 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta Q9991 $3,582 [source] 3 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville Q9991 $3,751 [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.