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
Alabama
Hospital Address Code Price Last Updated
Choctaw General Hospital 401 Vanity Fair Lane, Butler Q9966 $5 [source] 3 years ago
Baptist East 400 Taylor Rd, Montgomery Q9966 $20 [source] 3 years ago
Prattville Baptist 124 S Memorial Dr, Prattville Q9966 $20 [source] 3 years ago
Baptist South 2105 E South Blvd, Montgomery Q9966 $21 [source] 3 years ago
Andalusia Health 849 South Tree Notch Street, Andalusia Q9966 $40 [source] 3 years ago
Brookwood Baptist Medical Center 2010 Brookwood Medical Center Dr., Birmingham Q9966 $60 [source] 3 years ago
Vaughan Regional Medical Center 1015 Medical Center Parkway, Waterbury Q9966 $6,057 [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.