Code: Q9968

Description:
Description: Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg
HCPCS Category: Temporary codes (limited use and guidelines specific)
Other Descriptions:
ISOSULFAN BLUE 50 MG INJ
INDOCYANINE-GN 25 MG INJ
NON RAD/CONTRAST 1MG INJ
METHYLENE BLUE 1 MG INJ
METHYLENE BLUE (ANTIDOTE) 5 MG/ML (0.5 %) INTRAVENOUS SOLUTION
METHYLENE BLUE (ANTIDOTE) 1 % (10 MG/ML) INTRAVENOUS SOLUTION
ISOSULFAN BLUE 1 % SUBCUTANEOUS SOLUTION
METHYLENE BLUE 0.4% (4MG/ML) 5ML VIAL
METHYLENE BLUE 10MG/1ML
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: Q9967
LOCM 300-399 IC 50ML
Code: Q9969
TC99M NON-HEU ADD-ON
Arizona
Hospital Address Code Price Last Updated
Carondelet St. Joseph's Hospital 350 N. Wilmot Road, Tucson Q9968 $8 [source] 3 years ago
Abrazo Arrowhead Campus 18701 North 67Th Ave., Glendale Q9968 $19 [source] 3 years ago
Abrazo Central Hospital 2000 West Bethany Home Rd., Phoenix Q9968 $21 [source] 3 years ago
Canyon Vista Medical Center 5700 E. Highway 90, Sierra Vista Q9968 $36 [source] 3 years ago
Carondelet St. Mary's Hospital 1601 W. St. Mary's Road, Tucson Q9968 $417 [source] 3 years ago
Valley View Medical Center 5330 South Highway 95, Fort Mohave Q9968 $1,131 [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.