Code: Q9967

Description:
Description: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
LOCM 300-399 IC 30ML
OMNIPAQUE PO 350 100ML
LOCM 300-399 IC 1ML
LOCM 300-399 IC 200ML
OMNIPAQUE PO 350 50ML
OMNIPAQUE PO 300 50ML
LOCM 300-399 IC 10ML
LOCM 300-399 IC 100ML
LOCM 300-399 IC 75ML
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: Q9966
LOCM 200-299 IC 50ML
Code: Q9968
METHYL BLUE 100 MG INJ
Code: Q9969
TC99M NON-HEU ADD-ON
South Carolina
Hospital Address Code Price Last Updated
Providence Health 2435 Forest Drive, Columbia Q9967 $2 [source] 3 years ago
Providence Health Northeast 120 Gateway Corporate Blvd, Columbia Q9967 $2 [source] 3 years ago
Hilton Head Hospital 25 Hospital Center Blvd., Hilton Head Island Q9967 $6 [source] 3 years ago
Coastal Carolina Hospital 1000 Medical Center Dr., Hardeeville Q9967 $93 [source] 3 years ago
East Cooper Medical Center 2000 Hospital Dr., Mount Pleasant Q9967 $139 [source] 3 years ago
Aiken Regional Medical Centers 302 University Parkway, Aiken Q9967 $141 [source] 3 years ago
Piedmont Medical Center 222 South Herlong Ave., Rock Hill Q9967 $271 [source] 3 years ago
Colleton Medical Center 501 Robertson Blvd, Walterboro Q9967 $437 [source] 3 years ago
Trident Medical Center 9330 Medical Plaza Dr., Charleston Q9967 $1,753 [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.