Code: Q9966

Description:
Description: Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
OMNIPAQUE PO 240 50ML
LOCM 200-299 IC 1ML
LOCM 200-299 IC 20ML
OMNIPAQUE PO 240 150ML
LOCM 200-299 IC 200ML
LOCM 200-299 IC 150ML
Cntrst Rad Ompq 240 100ml
Locm 250-299 Mg/ml Per Ml
Omnipaque 240 / 200 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: Q9965
Description: Low osmolar contrast material, 100-199 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 Q9966 $3 [source] 4 years ago
Emory University Hospital 1364 Clifton Rd Ne, Atlanta Q9966 $21 [source] 4 years ago
Adventist Health System Georgia, Inc 170 Curtis Pkwy Ne, Calhoun Q9966 $87 [source] 4 years ago
Adventhealth Gordon 105 Willowbrook Way Se, Calhoun Q9966 $87 [source] 4 years ago
Adventhealth Murray 707 Old Dalton Ellijay Rd, Chatsworth Q9966 $87 [source] 4 years ago
Redmond Regional Medical Center 501 Redmond Rd, Rome Q9966 $294 [source] 4 years ago
St. Francis Hospital 2122 Manchester Expressway, Columbus Q9966 $314 [source] 4 years ago
Doctors Hospital Of Augusta 3651 Wheeler Rd, Augusta Q9966 $379 [source] 4 years ago
Memorial Satilla Health 1900 Tebeau St, Waycross Q9966 $498 [source] 4 years ago
Coliseum Health System 350 Hospital Dr, Macon Q9966 $677 [source] 4 years ago
Fairview Park Hospital 200 Industrial Boulevard, Dublin Q9966 $726 [source] 4 years ago
Memorial Health 4700 Waters Avenue, Savannah Q9966 $1,273 [source] 4 years ago
Eastside Medical Center 1700 Medical Way, Snellville Q9966 $1,600 [source] 4 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville Q9966 $2,306 [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.