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
Massachusetts
Hospital Address Code Price Last Updated
Saint Vincent Hospital 123 Summer St., Worcester Q9965 $7 [source] 3 years ago
Metrowest Medical Center - Framingham Union Hospital 115 Lincoln Street, Framingham Q9965 $12 [source] 3 years ago
Metrowest Medical Center - Leonard Morse Hospital 67 Union Street, Natick Q9965 $12 [source] 3 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston Q9965 $37 [source] 3 years ago
North Shore Medical Center Hospital 81 Highland Ave, Salem Q9965 $56 [source] 3 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain Q9965 $56 [source] 3 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown Q9965 $56 [source] 3 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls Q9965 $56 [source] 3 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich Q9965 $56 [source] 3 years ago
Massachusetts General Hospital 55 Fruit St, Boston Q9965 $57 [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.