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)
Alabama
Hospital Address Code Price Last Updated
Princeton Baptist Medical Center 701 Princeton Ave Sw, Birmingham Q9967 $1 [source] 4 years ago
Shelby Baptist Medical Center 1000 First Street North, Alabaster Q9967 $1 [source] 4 years ago
Choctaw General Hospital 401 Vanity Fair Lane, Butler Q9967 $2 [source] 4 years ago
Monroe County Hospital 2016 S Alabama Ave, Monroeville Q9967 $2 [source] 4 years ago
Baptist East 400 Taylor Rd, Montgomery Q9967 $9 [source] 4 years ago
Baptist South 2105 E South Blvd, Montgomery Q9967 $9 [source] 4 years ago
Prattville Baptist 124 S Memorial Dr, Prattville Q9967 $9 [source] 4 years ago
Walker Baptist Medical Center 3400 U.s. 78, Jasper Q9967 $13 [source] 4 years ago
Brookwood Baptist Medical Center 2010 Brookwood Medical Center Dr., Birmingham Q9967 $64 [source] 4 years ago
Andalusia Health 849 South Tree Notch Street, Andalusia Q9967 $253 [source] 4 years ago
Vaughan Regional Medical Center 1015 Medical Center Parkway, Waterbury Q9967 $1,360 [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.