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

Idaho

Hospital	Address	Code	Price	Last Updated
Caribou Memorial Hospital	300 S 3Rd W, Soda Springs	Q9969	$9 [source]	3 years ago
Power County Hospital	510 Roosevelt St, American Falls	Q9969	$69 [source]	3 years ago
Bear Lake Memorial Hospital	164 S 5Th St, Montpelier	Q9969	$72 [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 §180.