Code: Q9966

Description:
Description: Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
OMNIPAQUE PO 240 50ML
LOCM 200-299 IC 1ML
LOCM 200-299 IC 20ML
OMNIPAQUE PO 240 150ML
LOCM 200-299 IC 200ML
LOCM 200-299 IC 150ML
Cntrst Rad Ompq 240 100ml
Locm 250-299 Mg/ml Per Ml
Omnipaque 240 / 200 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: Q9965
LOCM 100-199 IC 1ML
Code: Q9967
LOCM 300-399 IC 50ML
Code: Q9968
METHYL BLUE 100 MG INJ
Code: Q9969
TC99M NON-HEU ADD-ON
State Average # Hospitals In Database
Delaware (DE) $1 1
Washington (WA) $2 2
Illinois (IL) $2 6
North Dakota (ND) $3 3
Minnesota (MN) $3 10
Arkansas (AR) $3 1
Maine (ME) $4 3
Colorado (CO) $8 2
Mississippi (MS) $10 7
Massachusetts (MA) $18 17
West Virginia (WV) $29 3
Wisconsin (WI) $30 9
Pennsylvania (PA) $41 3
New York (NY) $53 3
Oklahoma (OK) $54 1
New Jersey (NJ) $56 1
Vermont (VT) $79 1
Nebraska (NE) $90 11
Iowa (IA) $90 3
Maryland (MD) $95 1
Kansas (KS) $107 9
Idaho (ID) $123 9
Connecticut (CT) $149 8
Missouri (MO) $170 10
Tennessee (TN) $174 9
Michigan (MI) $174 131
Ohio (OH) $212 10
North Carolina (NC) $216 20
District of Columbia (DC) $219 1
Kentucky (KY) $222 10
Florida (FL) $243 110
Alaska (AK) $248 2
Hawaii (HI) $312 1
Texas (TX) $313 61
California (CA) $325 56
Utah (UT) $376 4
South Carolina (SC) $477 10
Wyoming (WY) $544 2
Virginia (VA) $609 5
Georgia (GA) $626 19
Nevada (NV) $759 18
Alabama (AL) $889 7
Indiana (IN) $909 15
New Mexico (NM) $958 1
New Hampshire (NH) $1,167 5
Louisiana (LA) $1,729 3
Arizona (AZ) $2,533 1
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.