Code: Q9964

Description:
Description: High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
HIGH OSM CONTRST MATL 400/> MG/ML IODINE CONC ML
HC LOCM OMNI 350 100-199MG 200ML
HC HOCM CONRAY 60% 50 ML
Related codes:
Code: Q9960
HOCM 200-249 IC 1ML
Code: Q9961
HOCM 250-299 IC 50ML
Code: Q9962
HOCM 300-349 IC 50ML
Code: Q9963
GASTROGRAFN PO 367 120ML
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
Florida
Hospital Address Code Price Last Updated
Northside Hospital 6000 49Th St North, Saint Petersburg Q9964 $1 [source] 3 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City Q9964 $1 [source] 3 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares Q9964 $1 [source] 3 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa Q9964 $1 [source] 3 years ago
Adventhealth Sebring 4200 Sun N Lake Blvd, Sebring Q9964 $2 [source] 3 years ago
Adventhealth Wauchula 735 S 5Th Ave, Wauchula Q9964 $2 [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.