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
Kansas
Hospital Address Code Price Last Updated
Ascension Via Christi Hospital Manhattan, Inc. 1823 College Ave, Manhattan Q9958 $2 [source] 4 years ago
Mt. Carmel Regional Medical Center, Inc. 1 Mt Carmel Way, Pittsburg Q9958 $2 [source] 4 years ago
Adventhealth Ransom Memorial, Inc. 1301 S Main St , Ottawa Q9958 $3 [source] 4 years ago
Menorah Medical Center 5721 W. 119Th Street, Shawnee Mission Q9958 $3 [source] 4 years ago
Overland Park Regional Medical Center 10500 Quivira Road, Shawnee Mission Q9958 $90 [source] 4 years ago
Community Hospital Onaga - Technician Services 120 W. 8Th St., Onaga Q9958 $95 [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.