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)
Georgia
Hospital Address Code Price Last Updated
Wellstar Atlanta Medical Center 303 Parkway Dr Ne, Atlanta, Georgia, Atlanta Q9967 $3 [source] 4 years ago
Murray County Memorial Hospital Authority 707 Old Dalton Ellijay Rd, Chatsworth Q9967 $4 [source] 4 years ago
Adventist Health System Georgia Inc 1035 Red Bud Rd Ne, Calhoun Q9967 $4 [source] 4 years ago
Adventhealth Gordon 105 Willowbrook Way Se, Calhoun Q9967 $23 [source] 4 years ago
Emory University Hospital 1364 Clifton Rd Ne, Atlanta Q9967 $30 [source] 4 years ago
St. Francis Hospital 2122 Manchester Expressway, Columbus Q9967 $180 [source] 4 years ago
Emory University Hospital Decatur 2165 N Decatur Rd , Decatur Q9967 $211 [source] 4 years ago
Eastside Medical Center 1700 Medical Way, Snellville Q9967 $891 [source] 4 years ago
Fairview Park Hospital 200 Industrial Boulevard, Dublin Q9967 $1,088 [source] 4 years ago
Redmond Regional Medical Center 501 Redmond Rd, Rome Q9967 $1,223 [source] 4 years ago
Memorial Health 4700 Waters Avenue, Savannah Q9967 $1,261 [source] 4 years ago
Memorial Satilla Health 1900 Tebeau St, Waycross Q9967 $1,428 [source] 4 years ago
Coliseum Health System 350 Hospital Dr, Macon Q9967 $1,559 [source] 4 years ago
Doctors Hospital Of Augusta 3651 Wheeler Rd, Augusta Q9967 $1,903 [source] 4 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville Q9967 $5,903 [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.