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)
Massachusetts
Hospital Address Code Price Last Updated
Massachusetts Eye And Ear 243 Charles St, Boston Q9967 $2 [source] 4 years ago
Saint Vincent Hospital 123 Summer St., Worcester Q9967 $8 [source] 4 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem Q9967 $10 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton Q9967 $15 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls Q9967 $18 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston Q9967 $22 [source] 4 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs Q9967 $23 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown Q9967 $53 [source] 4 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich Q9967 $86 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket Q9967 $86 [source] 4 years ago
Metrowest Medical Center - Framingham Union Hospital 115 Lincoln Street, Framingham Q9967 $94 [source] 4 years ago
Metrowest Medical Center - Leonard Morse Hospital 67 Union Street, Natick Q9967 $94 [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.