Code: Q9961

Description:
Description: High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
HOCM 250-299 IC 1ML
IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION
CONTRAST CONRAY 60% IOTHALAMATE MEGLUMINE RADIOLOGY INJECTION VIAL 50ML
Iothalamate Meglumine Inj Usp 60%
HC CONRAY LIEBEL FLARSHEIM NDC=00019095305 PKG=50ML, PER ML
HI OSM CONTRST MATL 250-299 MG/ML IODINE CONC ML
Related codes:
Code: Q9960
Description: High osmolar contrast material, 200-249 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q9962
Description: High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q9963
Description: High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q9964
Description: High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q9965
Description: Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q9966
Description: Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q9967
Description: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q9968
Description: Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q9969
Description: Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose
HCPCS Category: Temporary codes (limited use and guidelines specific)
Florida
Hospital Address Code Price Last Updated
Northside Hospital 6000 49Th St North, Saint Petersburg Q9961 $1 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City Q9961 $1 [source] 4 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring Q9961 $2 [source] 4 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula Q9961 $2 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q9961 $2 [source] 4 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City Q9961 $47 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando Q9961 $132 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park Q9961 $240 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa Q9961 $240 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando Q9961 $240 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka Q9961 $240 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando Q9961 $240 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee Q9961 $240 [source] 4 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.