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
Georgia
Hospital Address Code Price Last Updated
Wellstar Atlanta Medical Center 303 Parkway Dr Ne, Atlanta, Georgia, Atlanta Q9966 $3 [source] 3 years ago
Emory University Hospital 1364 Clifton Rd Ne, Atlanta Q9966 $21 [source] 3 years ago
Adventist Health System Georgia, Inc 170 Curtis Pkwy Ne, Calhoun Q9966 $87 [source] 3 years ago
Adventhealth Gordon 105 Willowbrook Way Se, Calhoun Q9966 $87 [source] 3 years ago
Adventhealth Murray 707 Old Dalton Ellijay Rd, Chatsworth Q9966 $87 [source] 3 years ago
Redmond Regional Medical Center 501 Redmond Rd, Rome Q9966 $294 [source] 3 years ago
St. Francis Hospital 2122 Manchester Expressway, Columbus Q9966 $314 [source] 3 years ago
Doctors Hospital Of Augusta 3651 Wheeler Rd, Augusta Q9966 $379 [source] 3 years ago
Memorial Satilla Health 1900 Tebeau St, Waycross Q9966 $498 [source] 3 years ago
Coliseum Health System 350 Hospital Dr, Macon Q9966 $677 [source] 3 years ago
Fairview Park Hospital 200 Industrial Boulevard, Dublin Q9966 $726 [source] 3 years ago
Memorial Health 4700 Waters Avenue, Savannah Q9966 $1,273 [source] 3 years ago
Eastside Medical Center 1700 Medical Way, Snellville Q9966 $1,600 [source] 3 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville Q9966 $2,306 [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.