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)

Minnesota

Hospital	Address	Code	Price	Last Updated
Essentia Health-St. Joseph's Medical Center (Brainerd)	523 N 3Rd St, Brainerd	Q9966	$3 [source]	4 years ago
Essentia Health-Virginia	901 9Th St N, Virginia	Q9966	$3 [source]	4 years ago
Essentia Health-Duluth (Miller-Dwan Building)	502 E 2Nd St, Duluth	Q9966	$3 [source]	4 years ago
Essentia Health-St. Mary's Medical Center	407 E 3Rd St, Duluth	Q9966	$3 [source]	4 years ago
Essentia Health-Ada	201 9Th St W, Ada	Q9966	$3 [source]	4 years ago
Essentia Health-Fosston	900 Hilligoss Blvd Se, Fosston	Q9966	$3 [source]	4 years ago
Essentia Health-Holy Trinity Hospital (Graceville)	115 W 2Nd St, Graceville	Q9966	$3 [source]	4 years ago
Essentia Health-Deer River	115 10Th Ave Ne, Deer River	Q9966	$3 [source]	4 years ago
Essentia Health-Sandstone	705 Lundorff Dr, Sandstone	Q9966	$3 [source]	4 years ago
Essentia Health-Northern Pines	5211 Hwy 110, Aurora	Q9966	$3 [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.