Code: Q9964

Description:
Description: High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
HIGH OSM CONTRST MATL 400/> MG/ML IODINE CONC ML
HC LOCM OMNI 350 100-199MG 200ML
HC HOCM CONRAY 60% 50 ML
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: 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
Code: Q9969
TC99M NON-HEU ADD-ON
State Average # Hospitals In Database
Illinois (IL) $1 5
Florida (FL) $1 12
Texas (TX) $2 4
Washington (WA) $2 1
Mississippi (MS) $3 3
California (CA) $5 34
Minnesota (MN) $116 7
North Carolina (NC) $124 22
Wisconsin (WI) $169 3
Kentucky (KY) $257 1

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.