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
Connecticut
Hospital Address Code Price Last Updated
Yale New Haven Hospital 20 York St, New Haven Q9965 $5 [source] 3 years ago
Danbury Hospital 24 Hospital Ave, Danbury Q9965 $5 [source] 3 years ago
Lawrence And Memorial Hospital 365 Montauk Ave, New London Q9965 $7 [source] 3 years ago
Middlesex Hospital 28 Crescent St, Middletown Q9965 $7 [source] 3 years ago
Hartford Hospital 80 Seymour St, Hartford Q9965 $69 [source] 3 years ago
St Vincent's Medical Center 2600 Park Ave, Unit 1M, Bridgeport Q9965 $69 [source] 3 years ago
The Hospital Of Central Connecticut 100 Grand St, Emergency Department, New Britain Q9965 $69 [source] 3 years ago
Middlesex Hospital 520 Saybrook Rd Ste N100, Middletown Q9965 $901 [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.