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)

Georgia

Hospital	Address	Code	Price	Last Updated
Wellstar Atlanta Medical Center	303 Parkway Dr Ne, Atlanta, Georgia, Atlanta	Q9961	$1 [source]	4 years ago
Memorial Health	4700 Waters Avenue, Savannah	Q9961	$6 [source]	4 years ago
Murray Medical Center, Inc.	104 Hospital Dr, Chatsworth	Q9961	$13 [source]	4 years ago
Adventist Health System Georgia, Inc	170 Curtis Pkwy Ne, Calhoun	Q9961	$13 [source]	4 years ago
Adventhealth Gordon	105 Willowbrook Way Se, Calhoun	Q9961	$13 [source]	4 years ago
Murray County Memorial Hospital Authority	707 Old Dalton Ellijay Rd, Chatsworth	Q9961	$13 [source]	4 years ago
Adventist Health System Georgia Inc	1035 Red Bud Rd Ne, Calhoun	Q9961	$13 [source]	4 years ago
Eastside Medical Center	1700 Medical Way, Snellville	Q9961	$56 [source]	4 years ago
Cartersville Medical Center	960 Joe Frank Harris Pkwy, Cartersville	Q9961	$355 [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 §180.