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

Wisconsin

Hospital	Address	Code	Price	Last Updated
Aspirus Riverview Hospital	410 Dewey St, Wisconsin Rapids	Q9964	$169 [source]	3 years ago
Aspirus Stevens Point Hospital	5409 Vern Holmes Dr,	Q9964	$169 [source]	3 years ago
Aspirus Wausau Hospital	333 Pine Ridge Blvd, Wausau	Q9964	$169 [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.