Code: Q9969

Description:
Description: Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
Non-heu Tc-99m Add-on/dose
TC-99M NON-HEU FULL COST REC ADD-ON PER STDY DOS
HC NON-HEU TC-99M ADD-ON/DOSE
Non+AC0-heu tc+AC0-99m add+AC0-on/dose
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: Q9968
METHYL BLUE 100 MG INJ
California
Hospital Address Code Price Last Updated
Zion Medical Center 4647 Zion Ave, San Diego Q9969 $34 [source] 3 years ago
West Los Angeles Medical Center 6041 Cadillac Ave, Los Angeles Q9969 $34 [source] 3 years ago
Anaheim Medical Center 3440 E La Palma Ave, Anaheim Q9969 $34 [source] 3 years ago
Moreno Valley Medical Center 27300 Iris Ave., Moreno Valley Q9969 $34 [source] 3 years ago
Woodland Hills Medical Center 5601 De Soto Ave, Woodland Hills Q9969 $34 [source] 3 years ago
Riverside Medical Center 10800 Magnolia Ave, Riverside Q9969 $34 [source] 3 years ago
South Bay Medical Center 25825 Vermont Ave, Harbor City Q9969 $34 [source] 3 years ago
Fontana Medical Center 9961 Sierra Ave, Fontana Q9969 $34 [source] 3 years ago
Panorama City Medical Center 13651 Willard St, Panorama City Q9969 $34 [source] 3 years ago
Baldwin Park Medical Center 1011 Baldwin Park Blvd, Baldwin Park Q9969 $34 [source] 3 years ago
Downey Medical Center 9333 Imperial Hwy, Downey Q9969 $34 [source] 3 years ago
Ontario Medical Center 2295 S Vineyard Ave, Ontario Q9969 $34 [source] 3 years ago
Irvine Medical Center 6640 Alton Pkwy, Irvine Q9969 $34 [source] 3 years ago
Los Angeles Medical Center 4867 W Sunset Blvd, Los Angeles Q9969 $34 [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.