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
Wisconsin
Hospital Address Code Price Last Updated
Midwest Orthopedic Specialty Hospital, Llc 10101 S 27Th St, Franklin Q9968 $14 [source] 3 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton Q9968 $25 [source] 3 years ago
Orthopaedic Hospital Of Wisconsin 475 W River Woods Pkwy, Milwaukee Q9968 $44 [source] 3 years ago
Aurora Medical Center Bay Area 3003 University Dr, Marinette Q9968 $94 [source] 3 years ago
Aurora Baycare 1160 Kepler Dr, Green Bay Q9968 $103 [source] 3 years ago
Aurora Medical Center Of Manitowoc County 5000 Memorial Dr, Two Rivers Q9968 $106 [source] 3 years ago
Aurora Medical Center Of Oshkosh 855 N Westhaven Dr, Oshkosh Q9968 $143 [source] 3 years ago
Aurora Sheboygan Memorial Medical Center 2629 N 7Th St, Sheboygan Q9968 $144 [source] 3 years ago
Aurora Medical Center Grafton 975 Port Washington Road, Grafton Q9968 $146 [source] 3 years ago
Aurora Medical Center Summit 36500 Aurora Dr, Oconomowoc Q9968 $147 [source] 3 years ago
Aurora West Allis Medical Center 8901 W Lincoln Ave, Milwaukee Q9968 $154 [source] 3 years ago
Aurora Lakeland Medical Center W3930 County Road Nn, Elkhorn Q9968 $154 [source] 3 years ago
Aurora Medical Center Burlington 252 Mchenry St, Burlington Q9968 $155 [source] 3 years ago
Aurora St Luke's South Shore 5900 S Lake Dr, Cudahy Q9968 $158 [source] 3 years ago
Aurora Medical Center Kenosha 10400 75Th St, Kenosha Q9968 $172 [source] 3 years ago
Aurora Sinai Medical Center 945 N 12Th St, Milwaukee Q9968 $187 [source] 3 years ago
Aurora St. Luke's Medical Center 2900 W Oklahoma Ave, Milwaukee Q9968 $189 [source] 3 years ago
Aurora Medical Center Of Washington County 1032 E Sumner St, Hartford Q9968 $222 [source] 3 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown Q9968 $659 [source] 3 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand Q9968 $1,628 [source] 3 years ago
Prairie Ridge Health 1515 Park Ave, Columbus Q9968 $1,870 [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.