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)

Kansas

Hospital	Address	Code	Price	Last Updated
Adventhealth Ransom Memorial, Inc.	1301 S Main St , Ottawa	Q9966	$3 [source]	4 years ago
Saint Luke’s South Hospital	12300 Metcalf Ave, Shawnee Mission	Q9966	$3 [source]	4 years ago
Ascension Via Christi Hospital Manhattan, Inc.	1823 College Ave, Manhattan	Q9966	$5 [source]	4 years ago
Mt. Carmel Regional Medical Center, Inc.	1 Mt Carmel Way, Pittsburg	Q9966	$5 [source]	4 years ago
Menorah Medical Center	5721 W. 119Th Street, Shawnee Mission	Q9966	$6 [source]	4 years ago
Western Plains Medical Complex	3001 Avenue A, Dodge City	Q9966	$94 [source]	4 years ago
Overland Park Regional Medical Center	10500 Quivira Road, Shawnee Mission	Q9966	$422 [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.