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
Nevada
Hospital Address Code Price Last Updated
Carson Valley Medical Center 1107 Hwy 395, Gardnerville Q9965 $5 [source] 3 years ago
Renown Regional Medical Center 1155 Mill Street, Reno Q9965 $81 [source] 3 years ago
Renown South Meadows Medical Center 10101 Double R Blvd, Reno Q9965 $81 [source] 3 years ago
Valley Hospital Medical Center 620 Shadow Lane, Las Vegas Q9965 $321 [source] 3 years ago
Summerlin Hospital Medical Center 657 Town Center Dr, Las Vegas Q9965 $616 [source] 3 years ago
Desert Springs Hospital 2075 E Flamingo Rd, Las Vegas Q9965 $723 [source] 3 years ago
Spring Valley Medical Center 5400 S Rainbow Blvd, Las Vegas Q9965 $1,391 [source] 3 years ago
Henderson Hospital 1050 West Galleria Drive, Henderson Q9965 $1,474 [source] 3 years ago
Centennial Hills Hospital Medical Center 6900 N Durango Drive, Las Vegas Q9965 $1,474 [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.