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
Kentucky
Hospital Address Code Price Last Updated
Bourbon Community Hospital 9 Linville Drive, Paris Q9966 $1 [source] 3 years ago
Clark Regional Medical Center 175 Hospital Drive, Winchester Q9966 $1 [source] 3 years ago
Manchester Memorial Hospital 210 Marie Langdon Dr, Manchester Q9966 $13 [source] 3 years ago
Bluegrass Community Hospital 360 Amsden Avenue, Versailles Q9966 $84 [source] 3 years ago
Spring View Hospital 320 Loretto Road, Lebanon Q9966 $112 [source] 3 years ago
Jackson Purchase Medical Center 1099 Medical Center Circle, Mayfield Q9966 $130 [source] 3 years ago
Lake Cumberland Regional Hospital 305 Langdon Street, Somerset Q9966 $376 [source] 3 years ago
Meadowview Regional Medical Center 989 Medical Park Drive, Maysville Q9966 $424 [source] 3 years ago
Georgetown Community Hospital 1140 Lexington Rd, Georgetown Q9966 $1,061 [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.