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
Texas
Hospital Address Code Price Last Updated
Texas Health Huguley 11801 South Fwy, Burleson Q9964 $1 [source] 3 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen Q9964 $1 [source] 3 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas Q9964 $1 [source] 3 years ago
Texas Children's Hospital 6621 Fannin St Houston, Houston Q9964 $4 [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.