Code: Q9968

Description:
Description: Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
ISOSULFAN BLUE 50 MG INJ
INDOCYANINE-GN 25 MG INJ
NON RAD/CONTRAST 1MG INJ
METHYLENE BLUE 1 MG INJ
METHYLENE BLUE (ANTIDOTE) 5 MG/ML (0.5 %) INTRAVENOUS SOLUTION
METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION
ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION
METHYLENE BLUE 0.4% (4MG/ML) 5ML VIAL
METHYLENE BLUE 10MG/1ML
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: Q9967
LOCM 300-399 IC 50ML
Code: Q9969
TC99M NON-HEU ADD-ON
Massachusetts
Hospital Address Code Price Last Updated
Saint Vincent Hospital 123 Summer St., Worcester Q9968 $4 [source] 3 years ago
Metrowest Medical Center - Framingham Union Hospital 115 Lincoln Street, Framingham Q9968 $46 [source] 3 years ago
Metrowest Medical Center - Leonard Morse Hospital 67 Union Street, Natick Q9968 $46 [source] 3 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls Q9968 $240 [source] 3 years ago
Massachusetts General Hospital 55 Fruit St, Boston Q9968 $249 [source] 3 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs Q9968 $284 [source] 3 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton Q9968 $318 [source] 3 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain Q9968 $394 [source] 3 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston Q9968 $402 [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.