Code: Q9961

Description:
Description: High osmolar contrast material, 250-299 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
HOCM 250-299 IC 1ML
IOTHALAMATE MEGLUMINE 60 % INJECTION SOLUTION
CONTRAST CONRAY 60% IOTHALAMATE MEGLUMINE RADIOLOGY INJECTION VIAL 50ML
Iothalamate Meglumine Inj Usp 60%
HC CONRAY LIEBEL FLARSHEIM NDC=00019095305 PKG=50ML, PER ML
HI OSM CONTRST MATL 250-299 MG/ML IODINE CONC ML
Related codes:
Code: Q9960
HOCM 200-249 IC 1ML
Code: Q9962
HOCM 300-349 IC 50ML
Code: Q9963
GASTROGRAFN PO 367 120ML
Code: Q9964
HOCM 400 OR MORE IC 1ML
Code: Q9965
LOCM 100-199 IC 1ML
Code: Q9966
LOCM 200-299 IC 50ML
Code: Q9967
LOCM 300-399 IC 50ML
Code: Q9968
METHYL BLUE 100 MG INJ
Code: Q9969
TC99M NON-HEU ADD-ON
State Average # Hospitals In Database
Illinois (IL) $1 5
Connecticut (CT) $2 2
Washington (WA) $2 2
Minnesota (MN) $3 1
Michigan (MI) $3 1
Virginia (VA) $6 3
New Mexico (NM) $7 1
California (CA) $7 38
Alabama (AL) $8 1
Pennsylvania (PA) $9 2
Wisconsin (WI) $39 1
Massachusetts (MA) $41 1
Georgia (GA) $42 14
Hawaii (HI) $45 1
Ohio (OH) $49 3
Texas (TX) $53 4
Utah (UT) $55 1
New Hampshire (NH) $62 2
North Carolina (NC) $72 5
Florida (FL) $92 21
Wyoming (WY) $92 2
Nevada (NV) $151 3
Kentucky (KY) $169 6

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.