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
South Carolina
Hospital Address Code Price Last Updated
Piedmont Medical Center 222 South Herlong Ave., Rock Hill Q9966 $4 [source] 3 years ago
East Cooper Medical Center 2000 Hospital Dr., Mount Pleasant Q9966 $17 [source] 3 years ago
Aiken Regional Medical Centers 302 University Parkway, Aiken Q9966 $32 [source] 3 years ago
Providence Health 2435 Forest Drive, Columbia Q9966 $54 [source] 3 years ago
Providence Health Northeast 120 Gateway Corporate Blvd, Columbia Q9966 $54 [source] 3 years ago
Colleton Medical Center 501 Robertson Blvd, Walterboro Q9966 $338 [source] 3 years ago
Grand Strand Medical Center 809 82Nd Pkwy, Myrtle Beach Q9966 $1,132 [source] 3 years ago
Trident Medical Center 9330 Medical Plaza Dr., Charleston Q9966 $1,666 [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.