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See a sample rate comparisonHCPCS Q9965 (Omnipaque) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Contrast Agents/Diagnostic Imaging |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for Q9965 |
| Medicare Payment Limit | $0.959  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS Q9965 by major payers:
$2.58
$1.55
$1.68
$1.63
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HCPCS Q9965
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$3.01Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$1.88Published rateBrittany Ptachick
Hroa 401k Plan
$1.37Published rateChristopher Raio
St Francis Hospital
$1.07Published rateChristopher Raio
St Francis Hospital
$0.96Published rate
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See a sample payer proposalHCPCS Q9965 vs. Other Contrast Agents/Diagnostic Imaging Codes
The HCPCS Q9965 code is part of the Temporary Codes services used for Contrast Agents/Diagnostic Imaging. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS Q9965 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| Q9964-HCPCS | Low | High osmolar contrast material, 400 or greater mg/ml iodine concentration, per ml |
| Q9965-HCPCS | Low | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
| Q9966-HCPCS | Low | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q9965. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q9965 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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