Code: Q9967

Description:
Description: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
LOCM 300-399 IC 30ML
OMNIPAQUE PO 350 100ML
LOCM 300-399 IC 1ML
LOCM 300-399 IC 200ML
OMNIPAQUE PO 350 50ML
OMNIPAQUE PO 300 50ML
LOCM 300-399 IC 10ML
LOCM 300-399 IC 100ML
LOCM 300-399 IC 75ML
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: Q9966
Description: Low osmolar contrast material, 200-299 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)
State Average # Hospitals In Database
North Dakota (ND) $1 2
Delaware (DE) $1 1
Hawaii (HI) $13 1
Minnesota (MN) $18 12
Illinois (IL) $22 6
Oklahoma (OK) $23 3
Maine (ME) $28 5
New Jersey (NJ) $29 2
Massachusetts (MA) $40 13
Arkansas (AR) $55 3
Vermont (VT) $66 2
Connecticut (CT) $99 7
Washington (WA) $102 5
New York (NY) $107 2
Wisconsin (WI) $120 9
Idaho (ID) $127 15
Mississippi (MS) $136 5
Pennsylvania (PA) $143 4
District of Columbia (DC) $145 1
Colorado (CO) $154 3
Alabama (AL) $157 11
Arizona (AZ) $191 7
Iowa (IA) $195 3
Nebraska (NE) $195 11
Alaska (AK) $217 2
Ohio (OH) $243 11
Michigan (MI) $246 136
South Dakota (SD) $266 1
West Virginia (WV) $295 3
South Carolina (SC) $328 10
Missouri (MO) $336 11
California (CA) $387 64
Kentucky (KY) $394 12
Kansas (KS) $433 10
Tennessee (TN) $448 11
Texas (TX) $461 75
Virginia (VA) $501 6
Utah (UT) $553 5
New Mexico (NM) $556 2
Florida (FL) $590 115
Indiana (IN) $935 17
Wyoming (WY) $961 2
Nevada (NV) $969 20
Georgia (GA) $1,072 18
New Hampshire (NH) $1,792 7
North Carolina (NC) $2,537 23
Louisiana (LA) $2,968 3
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.