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
Ohio
Hospital Address Code Price Last Updated
Marymount Hospital 12300 Mccracken Road, Cleveland Q9965 $2 [source] 3 years ago
Euclid Hospital 18901 Lakeshore Blvd., Cleveland Q9965 $4 [source] 3 years ago
South Pointe Hospital 20000 Harvard Rd., Cleveland Q9965 $4 [source] 3 years ago
Hillcrest Hospital 6780 Mayfield Rd., Cleveland Q9965 $4 [source] 3 years ago
Cleveland Clinic Main Campus 9500 Euclid Ave, Cleveland Q9965 $174 [source] 3 years ago
Fairview Hospital 18101 Lorain Ave., Cleveland Q9965 $174 [source] 3 years ago
Lutheran Hospital 1730 West 25Th Street, Cleveland Q9965 $184 [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.