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
Tennessee
Hospital Address Code Price Last Updated
St. Jude Children's Research Hospital , Memphis Q9968 $6 [source] 3 years ago
Sumner Regional Medical Center 555 Hartsville Pike, Gallatin Q9968 $7 [source] 3 years ago
Southern Tennessee Regional Health System - Winchester 185 Hospital Road, Winchester Q9968 $8 [source] 3 years ago
Southern Tennessee Regional Health System - Pulaski 1265 East College Street, Pulaski Q9968 $8 [source] 3 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury Q9968 $14 [source] 3 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville Q9968 $14 [source] 3 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta Q9968 $14 [source] 3 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville Q9968 $16 [source] 3 years ago
Riverview Regional Medical Center 158 Hospital Drive, Carthage Q9968 $61 [source] 3 years ago
Southern Tennessee Regional Health System - Lawrenceburg 1607 South Locust Avenue, Lawrenceburg Q9968 $79 [source] 3 years ago
Starr Regional Medical Center - Athens 1114 West Madison Ave, Athens Q9968 $189 [source] 3 years ago
Starr Regional Medical Center - Etowah 886 Highway 411 North, Etowah Q9968 $189 [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.