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

Texas

Hospital	Address	Code	Price	Last Updated
Adventhealth Rollins Brook	608 N Key Ave, Lampasas	Q9961	$2 [source]	3 years ago
Texas Children's Hospital	6621 Fannin St Houston, Houston	Q9961	$4 [source]	3 years ago
Texas Health Huguley	11801 South Fwy, Burleson	Q9961	$5 [source]	3 years ago
Palestine Regional Medical Center	2900 South Loop 256, Palestine	Q9961	$200 [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 §180.