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)
Massachusetts
Hospital Address Code Price Last Updated
North Shore Medical Center Hospital 81 Highland Ave, Salem Q9966 $1 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain Q9966 $1 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown Q9966 $1 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls Q9966 $1 [source] 4 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs Q9966 $1 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge Q9966 $2 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket Q9966 $2 [source] 4 years ago
Saint Vincent Hospital 123 Summer St., Worcester Q9966 $5 [source] 4 years ago
Metrowest Medical Center - Framingham Union Hospital 115 Lincoln Street, Framingham Q9966 $9 [source] 4 years ago
Metrowest Medical Center - Leonard Morse Hospital 67 Union Street, Natick Q9966 $9 [source] 4 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich Q9966 $10 [source] 4 years ago
Mclean Hospital 115 Mill St, Belmont Q9966 $10 [source] 4 years ago
Massachusetts Eye And Ear 243 Charles St, Boston Q9966 $10 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston Q9966 $35 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston Q9966 $54 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton Q9966 $139 [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.