Code: Q9965

Description:

Description: Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)

Other Descriptions:

Contr Locm 100-199mg 1ml

IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION

HC LOCM 100-199 MG/ML IODINE CONCENTRATION PER ML

LOCM 100-199 MG/ML 100ML

LOCM 100-199 MG/ML 150ML

LOCM 100-199 MG/ML 50ML

LOCM 100-199 MG/ML 300ML

1ML PER 1CC OMNIPAQUE CONTRAST AGENT CONCENTRATION 180

IOHEXOL INJ 180 PER 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: Q9961

Description: High osmolar contrast material, 250-299 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: 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)

State	Average	# Hospitals In Database
Illinois (IL)	$1	1
Tennessee (TN)	$2	4
Utah (UT)	$3	1
Missouri (MO)	$4	6
Virginia (VA)	$5	3
Minnesota (MN)	$5	12
Kansas (KS)	$5	6
North Dakota (ND)	$6	3
West Virginia (WV)	$7	1
Washington (WA)	$7	2
Pennsylvania (PA)	$9	2
New Mexico (NM)	$9	1
Mississippi (MS)	$9	7
South Carolina (SC)	$10	3
Wisconsin (WI)	$13	8
Kentucky (KY)	$23	3
Colorado (CO)	$25	1
Oklahoma (OK)	$28	2
Massachusetts (MA)	$39	11
New York (NY)	$50	3
Louisiana (LA)	$54	1
New Jersey (NJ)	$63	1
Ohio (OH)	$78	7
Georgia (GA)	$79	12
Michigan (MI)	$105	19
New Hampshire (NH)	$113	5
North Carolina (NC)	$136	27
Connecticut (CT)	$141	8
Idaho (ID)	$144	2
Florida (FL)	$146	65
California (CA)	$162	44
Texas (TX)	$199	34
Hawaii (HI)	$199	1
Alaska (AK)	$216	2
District of Columbia (DC)	$272	1
Maine (ME)	$336	1
Indiana (IN)	$680	18
Nevada (NV)	$685	9
Alabama (AL)	$897	8
Arizona (AZ)	$996	1

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.