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

Idaho

Hospital	Address	Code	Price	Last Updated
Minidoka Medical Center	1308 8Th St, Suite 1, Rupert	Q9958	$138 [source]	4 years ago
Eastern Idaho Regional Medical Center	3100 Channing Way, Idaho Falls	Q9958	$246 [source]	4 years ago
West Valley Medical Center	1717 Arlington Ave., Caldwell	Q9958	$258 [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.