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
Georgia
Hospital Address Code Price Last Updated
Wellstar Atlanta Medical Center 303 Parkway Dr Ne, Atlanta, Georgia, Atlanta Q9958 $2 [source] 4 years ago
Fairview Park Hospital 200 Industrial Boulevard, Dublin Q9958 $16 [source] 4 years ago
Eastside Medical Center 1700 Medical Way, Snellville Q9958 $59 [source] 4 years ago
Emory University Hospital Decatur 2165 N Decatur Rd , Decatur Q9958 $122 [source] 4 years ago
Redmond Regional Medical Center 501 Redmond Rd, Rome Q9958 $190 [source] 4 years ago
Coliseum Health System 350 Hospital Dr, Macon Q9958 $342 [source] 4 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville Q9958 $355 [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.