Code: Q9958

Description:
Description: High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
HOCM UP TO 149 IC 100ML
HOCM UP TO 149 IC 250ML
IOTHALAMATE MEGLUMINE 30 % INTRAVENOUS SOLUTION
DIATRIZOATE MEGLUMINE 30 % URETHRAL SOLUTION
IOTHALAMATE MEGLUMINE 17.2 % URETHRAL SOLUTION
HC HIGH OSM CONTRAST MATL 149 MG/ML IODINE CONC ML
DIATRIZOATE MEGLUMINE 18 % URETHRAL SOLUTION
CYSTOGRAFIN 300ML
DIATRIZOATE MEGLUMINE 30 % UR SOLN
Related codes:
Code: Q9950
SULFUR HEXAFLUOR 1ML INJ
Code: Q9951
LOCM 400 OR MORE IC 1 ML
Code: Q9953
IRON MR CONTRAST 1ML INJ
Code: Q9954
MR CONTRAST 100 ML PO
Code: Q9955
Description: Injection, perflexane lipid microspheres, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Code: Q9956
OCTAFLUOROPR MCS 3ML INJ
Code: Q9957
PERFLUTRN LPDMCS 1ML INJ
Code: Q9959
HOCM 150-199 IC 1ML
State Average # Hospitals In Database
Washington (WA) $1 2
Nebraska (NE) $1 11
Iowa (IA) $1 3
Vermont (VT) $1 1
Kentucky (KY) $2 1
Minnesota (MN) $8 4
Michigan (MI) $14 112
Illinois (IL) $24 6
District of Columbia (DC) $32 1
Kansas (KS) $36 8
Pennsylvania (PA) $41 2
Alabama (AL) $44 6
Maryland (MD) $46 1
Wisconsin (WI) $48 15
Virginia (VA) $54 3
West Virginia (WV) $55 1
New York (NY) $58 2
Massachusetts (MA) $80 3
Maine (ME) $88 2
Missouri (MO) $91 2
Indiana (IN) $109 13
Alaska (AK) $113 2
Oklahoma (OK) $122 1
Tennessee (TN) $130 5
Florida (FL) $140 58
Georgia (GA) $143 8
Texas (TX) $150 41
Arizona (AZ) $161 2
California (CA) $174 51
South Carolina (SC) $213 6
Ohio (OH) $213 5
Utah (UT) $226 2
Nevada (NV) $228 14
Idaho (ID) $229 5
Connecticut (CT) $266 1
Louisiana (LA) $307 1
New Hampshire (NH) $410 3
North Carolina (NC) $2,121 16

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.