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)
Minnesota
Hospital Address Code Price Last Updated
Hennepin Healthcare 716 South 7Th Street, Minneapolis Q9965 $1 [source] 4 years ago
Essentia Health-Fosston 900 Hilligoss Blvd Se, Fosston Q9965 $3 [source] 4 years ago
Essentia Health-St. Joseph's Medical Center (Brainerd) 523 N 3Rd St, Brainerd Q9965 $3 [source] 4 years ago
Essentia Health-Holy Trinity Hospital (Graceville) 115 W 2Nd St, Graceville Q9965 $3 [source] 4 years ago
Essentia Health-Virginia 901 9Th St N, Virginia Q9965 $3 [source] 4 years ago
Essentia Health-Deer River 115 10Th Ave Ne, Deer River Q9965 $3 [source] 4 years ago
Essentia Health-Duluth (Miller-Dwan Building) 502 E 2Nd St, Duluth Q9965 $3 [source] 4 years ago
Essentia Health-Sandstone 705 Lundorff Dr, Sandstone Q9965 $3 [source] 4 years ago
Essentia Health-St. Mary's Medical Center 407 E 3Rd St, Duluth Q9965 $3 [source] 4 years ago
Essentia Health-Northern Pines 5211 Hwy 110, Aurora Q9965 $3 [source] 4 years ago
Essentia Health St. Mary's-Detroit Lakes 1027 Washington Ave, Detroit Lakes Q9965 $8 [source] 4 years ago
Essentia Health-Ada 201 9Th St W, Ada Q9965 $23 [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.