Code: Q9967

Description:
Description: Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
LOCM 300-399 IC 30ML
OMNIPAQUE PO 350 100ML
LOCM 300-399 IC 1ML
LOCM 300-399 IC 200ML
OMNIPAQUE PO 350 50ML
OMNIPAQUE PO 300 50ML
LOCM 300-399 IC 10ML
LOCM 300-399 IC 100ML
LOCM 300-399 IC 75ML
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: Q9965
LOCM 100-199 IC 1ML
Code: Q9966
LOCM 200-299 IC 50ML
Code: Q9968
METHYL BLUE 100 MG INJ
Code: Q9969
TC99M NON-HEU ADD-ON
Connecticut
Hospital Address Code Price Last Updated
Norwalk Hospital 40 Prospect Ave, Norwalk Q9967 $2 [source] 3 years ago
St Vincent's Medical Center 2600 Park Ave, Unit 1M, Bridgeport Q9967 $46 [source] 3 years ago
The Hospital Of Central Connecticut 100 Grand St, Emergency Department, New Britain Q9967 $46 [source] 3 years ago
Middlesex Hospital 28 Crescent St, Middletown Q9967 $70 [source] 3 years ago
Hartford Hospital 80 Seymour St, Hartford Q9967 $83 [source] 3 years ago
Danbury Hospital 24 Hospital Ave, Danbury Q9967 $134 [source] 3 years ago
Middlesex Hospital 520 Saybrook Rd Ste N100, Middletown Q9967 $312 [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.