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
Connecticut
Hospital Address Code Price Last Updated
Norwalk Hospital 40 Prospect Ave, Norwalk Q9966 $1 [source] 3 years ago
Yale New Haven Hospital 20 York St, New Haven Q9966 $5 [source] 3 years ago
Lawrence And Memorial Hospital 365 Montauk Ave, New London Q9966 $5 [source] 3 years ago
Hartford Hospital 80 Seymour St, Hartford Q9966 $19 [source] 3 years ago
St Vincent's Medical Center 2600 Park Ave, Unit 1M, Bridgeport Q9966 $19 [source] 3 years ago
The Hospital Of Central Connecticut 100 Grand St, Emergency Department, New Britain Q9966 $19 [source] 3 years ago
Middlesex Hospital 28 Crescent St, Middletown Q9966 $140 [source] 3 years ago
Middlesex Hospital 520 Saybrook Rd Ste N100, Middletown Q9966 $980 [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.