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)
Kentucky
Hospital Address Code Price Last Updated
Manchester Memorial Hospital 210 Marie Langdon Dr, Manchester Q9967 $8 [source] 4 years ago
Fleming County Hospital 55 Foundation Drive, Flemingsburg Q9967 $67 [source] 4 years ago
Bluegrass Community Hospital 360 Amsden Avenue, Versailles Q9967 $119 [source] 4 years ago
Bourbon Community Hospital 9 Linville Drive, Paris Q9967 $126 [source] 4 years ago
Clark Regional Medical Center 175 Hospital Drive, Winchester Q9967 $140 [source] 4 years ago
Logan Memorial Hospital 1625 Nashville Street, Russellville Q9967 $239 [source] 4 years ago
Meadowview Regional Medical Center 989 Medical Park Drive, Maysville Q9967 $446 [source] 4 years ago
Georgetown Community Hospital 1140 Lexington Rd, Georgetown Q9967 $664 [source] 4 years ago
Jackson Purchase Medical Center 1099 Medical Center Circle, Mayfield Q9967 $670 [source] 4 years ago
Spring View Hospital 320 Loretto Road, Lebanon Q9967 $992 [source] 4 years ago
Lake Cumberland Regional Hospital 305 Langdon Street, Somerset Q9967 $1,253 [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.