Code: Q9968

Description:

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)

Other Descriptions:

ISOSULFAN BLUE 50 MG INJ

INDOCYANINE-GN 25 MG INJ

NON RAD/CONTRAST 1MG INJ

METHYLENE BLUE 1 MG INJ

METHYLENE BLUE (ANTIDOTE) 5 MG/ML (0.5 %) INTRAVENOUS SOLUTION

METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION

ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION

METHYLENE BLUE 0.4% (4MG/ML) 5ML VIAL

METHYLENE BLUE 10MG/1ML

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: Q9967

Description: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
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
Saint Vincent Hospital	123 Summer St., Worcester	Q9968	$4 [source]	4 years ago
Metrowest Medical Center - Framingham Union Hospital	115 Lincoln Street, Framingham	Q9968	$46 [source]	4 years ago
Metrowest Medical Center - Leonard Morse Hospital	67 Union Street, Natick	Q9968	$46 [source]	4 years ago
Newton Wellesley Hospital	2014 Washington St, Newton Lower Falls	Q9968	$240 [source]	4 years ago
Massachusetts General Hospital	55 Fruit St, Boston	Q9968	$249 [source]	4 years ago
Martha's Vineyard Hospital	One Hospital Road, Oak Bluffs	Q9968	$284 [source]	4 years ago
Cooley Dickinson Health Care	30 Locust St, Northampton	Q9968	$318 [source]	4 years ago
Brigham & Women Faulkner Hospital	1153 Centre St, Jamaica Plain	Q9968	$394 [source]	4 years ago
Brigham & Womens Hospital, Inc.	75 Francis St, Boston	Q9968	$402 [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 §180.