Code: Q9965

Description:
Description: Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
Contr Locm 100-199mg 1ml
IOHEXOL 180 MG IODINE/ML INTRATHECAL SOLUTION
HC LOCM 100-199 MG/ML IODINE CONCENTRATION PER ML
LOCM 100-199 MG/ML 100ML
LOCM 100-199 MG/ML 150ML
LOCM 100-199 MG/ML 50ML
LOCM 100-199 MG/ML 300ML
1ML PER 1CC OMNIPAQUE CONTRAST AGENT CONCENTRATION 180
IOHEXOL INJ 180 PER 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: Q9964
HOCM 400 OR MORE 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 1
Tennessee (TN) $2 4
Utah (UT) $3 1
Missouri (MO) $4 6
Virginia (VA) $5 3
Minnesota (MN) $5 12
Kansas (KS) $5 6
North Dakota (ND) $6 3
West Virginia (WV) $7 1
Washington (WA) $7 2
Pennsylvania (PA) $9 2
New Mexico (NM) $9 1
Mississippi (MS) $9 7
South Carolina (SC) $10 3
Wisconsin (WI) $13 8
Kentucky (KY) $23 3
Colorado (CO) $25 1
Oklahoma (OK) $28 2
Massachusetts (MA) $39 11
New York (NY) $50 3
Louisiana (LA) $54 1
New Jersey (NJ) $63 1
Ohio (OH) $78 7
Georgia (GA) $79 12
Michigan (MI) $105 19
New Hampshire (NH) $113 5
North Carolina (NC) $136 27
Connecticut (CT) $141 8
Idaho (ID) $144 2
Florida (FL) $146 65
California (CA) $162 44
Texas (TX) $199 34
Hawaii (HI) $199 1
Alaska (AK) $216 2
District of Columbia (DC) $272 1
Maine (ME) $336 1
Indiana (IN) $680 18
Nevada (NV) $685 9
Alabama (AL) $897 8
Arizona (AZ) $996 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.