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
Nebraska
Hospital Address Code Price Last Updated
Chi Health St. Elizabeth 555 S. 70Th St., Lincoln Q9958 $1 [source] 4 years ago
Chi Health Good Samaritan 10 E 31St St, Kearney Q9958 $1 [source] 4 years ago
Chi Health Lakeside 17201 Wright St, Omaha Q9958 $1 [source] 4 years ago
Chi Health Schuyler 1721 Colfax St, Schuyler Q9958 $1 [source] 4 years ago
Chi Health Midlands 11111 S 84Th St, Papillion Q9958 $1 [source] 4 years ago
Chi Health Plainview 704 N 3Rd St, Plainview Q9958 $1 [source] 4 years ago
Chi Health St. Mary 1301 Grundman Blvd, Nebraska City Q9958 $1 [source] 4 years ago
Chi Health Creighton University Medical Center - Bergan Mercy 7500 Mercy Rd, Omaha Q9958 $1 [source] 4 years ago
Chi Health Immanuel 7101 Newport Ave, Omaha Q9958 $1 [source] 4 years ago
Chi Health St. Francis 2116 W Faidley Ave, Grand Island Q9958 $1 [source] 4 years ago
Chi Health Nebraska Heart 7500 So. 91St St., Lincoln Q9958 $1 [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.