Code: Q9965

Description:
Description: Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
Contr Locm 100-199mg 1ml
IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION
HC LOCM 100-199 MG/ML IODINE CONCENTRATION PER ML
LOCM 100-199 MG/ML 100ML
LOCM 100-199 MG/ML 150ML
LOCM 100-199 MG/ML 50ML
LOCM 100-199 MG/ML 300ML
1ML PER 1CC OMNIPAQUE CONTRAST AGENT CONCENTRATION 180
IOHEXOL INJ 180 PER 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: Q9964
HOCM 400 OR MORE 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
North Carolina
Hospital Address Code Price Last Updated
Atrium Health Stanly 301 Yadkin St. , Albemarle Q9965 $3 [source] 3 years ago
Atrium Health Pineville 10628 Park Road , Charlotte Q9965 $3 [source] 3 years ago
Carolinas Rehabilitation 1100 Blythe Blvd. , Charlotte Q9965 $3 [source] 3 years ago
Atrium Health Behavioral Health 501 Billingsley Road , Charlotte Q9965 $3 [source] 3 years ago
Atrium Health Anson 2301 Us Hwy 74 W. , Wadesboro Q9965 $3 [source] 3 years ago
Carolinas Medical Center 1000 Blythe Blvd. , Charlotte Q9965 $3 [source] 3 years ago
Atrium Health Cabarrus 920 Church Street North , Concord Q9965 $3 [source] 3 years ago
Atrium Health Cleveland 201 E. Grover St. , Shelby Q9965 $3 [source] 3 years ago
Atrium Health University 8800 N. Tryon St. , Charlotte Q9965 $3 [source] 3 years ago
Atrium Health Mercy 2001 Vail Ave. , Charlotte Q9965 $3 [source] 3 years ago
Atrium Health Union 600 Hospital Drive , Monroe Q9965 $3 [source] 3 years ago
Harris Regional Hospital 68 Hospital Road, Sylva Q9965 $6 [source] 3 years ago
Adventhealth Hendersonville 100 Hospital Dr, Hendersonville Q9965 $17 [source] 3 years ago
Cone Health Moses Cone Hospital 1121 North Church St Entrance A, Greensboro Q9965 $22 [source] 3 years ago
Cone Health Penn Nursing Center 618 S Main St, Reidsville Q9965 $63 [source] 3 years ago
Cone Health Wesley Long Hospital 2400 W Friendly Ave, Greensboro Q9965 $63 [source] 3 years ago
Cone Health Alamance Regional Medical Center 1240 Huffman Mill Rd, Burlington Q9965 $63 [source] 3 years ago
Cone Health Behavioral Health Hospital 700 Walter Reed Dr, Greensboro Q9965 $63 [source] 3 years ago
Moses Cone Hospital 1131D N Church St, Greensboro Q9965 $63 [source] 3 years ago
Rutherford Regional Health System 288 S. Ridgecrest Avenue, Rutherfordton Q9965 $90 [source] 3 years ago
Carepartners Rehabilitation Hospital 68 Sweeten Creek Rd, Asheville Q9965 $441 [source] 3 years ago
Mcdowell Hospital , Marion Q9965 $476 [source] 3 years ago
Blue Ridge Regional Hospital 125 Hospital Dr, Spruce Pine Q9965 $476 [source] 3 years ago
Angel Medical Center 120 Riverview St, Franklin Q9965 $476 [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.