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
Kentucky
Hospital Address Code Price Last Updated
Bourbon Community Hospital 9 Linville Drive, Paris Q9961 $17 [source] 3 years ago
Jackson Purchase Medical Center 1099 Medical Center Circle, Mayfield Q9961 $29 [source] 3 years ago
Meadowview Regional Medical Center 989 Medical Park Drive, Maysville Q9961 $105 [source] 3 years ago
Spring View Hospital 320 Loretto Road, Lebanon Q9961 $150 [source] 3 years ago
Georgetown Community Hospital 1140 Lexington Rd, Georgetown Q9961 $155 [source] 3 years ago
Lake Cumberland Regional Hospital 305 Langdon Street, Somerset Q9961 $556 [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.