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
Georgia
Hospital Address Code Price Last Updated
Wellstar Atlanta Medical Center 303 Parkway Dr Ne, Atlanta, Georgia, Atlanta Q9961 $1 [source] 3 years ago
Memorial Health 4700 Waters Avenue, Savannah Q9961 $6 [source] 3 years ago
Murray Medical Center, Inc. 104 Hospital Dr, Chatsworth Q9961 $13 [source] 3 years ago
Adventist Health System Georgia, Inc 170 Curtis Pkwy Ne, Calhoun Q9961 $13 [source] 3 years ago
Adventhealth Gordon 105 Willowbrook Way Se, Calhoun Q9961 $13 [source] 3 years ago
Murray County Memorial Hospital Authority 707 Old Dalton Ellijay Rd, Chatsworth Q9961 $13 [source] 3 years ago
Adventist Health System Georgia Inc 1035 Red Bud Rd Ne, Calhoun Q9961 $13 [source] 3 years ago
Eastside Medical Center 1700 Medical Way, Snellville Q9961 $56 [source] 3 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville Q9961 $355 [source] 3 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.