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

Idaho

Hospital	Address	Code	Price	Last Updated
Caribou Memorial Hospital	300 S 3Rd W, Soda Springs	Q9965	$52 [source]	3 years ago
Steele Memorial Medical Center	203 S Daisy St, Salmon	Q9965	$236 [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.