Home › Drug Codes › Q Codes › Q9968 · Provayblue
Updated July 1st, 2026

Provayblue Q Code: Q9968

Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
$10.872
/ HCPCS billing unit · APC 1446
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
4
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Drug & Product Overview

HCPCS Descriptor Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg
HCPCS Added Date January 1, 2010
Manufacturer Multiple Manufacturers
Route of Administration Intravenous, Subcutaneous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection | Injection, Solution

About Provayblue

Provayblue is a medication aligned to the HCPCS Q Code: Q9968 for billing, pricing, and reimbursement purposes in the United States. This Misc. medication is administered via the intravenous or subcutaneous routes and manufactured by multiple companies.

Manufacturers, reach out to us to add more information.

NDC Code Information

4 NDC packages are crosswalked to Q9968. Package detail is available to logged-in subscribers.

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Provayblue Pricing & Reimbursement

Q9968 Private Payer Reimbursement
$5.44 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Isosulfan Blue 505(b)(2) Information:

HCPCS Code Manufacturer Active Ingredient HCPCS Description
Q9968 Generic Code (Multiple Manufacturers) Isosulfan Blue Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg

Provayblue CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
Not on the CMS JW / JZ list

CMS does not include Provayblue (Q9968) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q9968. Wastage billing guide →

Provayblue Medically Unlikely Edits (MUE)

The most billing units of Q9968 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
200 units / day
= 200 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

Provayblue Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Lymphatic Vessel Delineation acquired methemoglobinemia
Drug Class
Oxidation-Reduction Activity [MoA]Oxidation-Reduction Agent [EPC]

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Frequently Asked Questions

Is there an available Provayblue billing and coding guide?
We have not yet identified a manufacturer source of Provayblue billing and coding information.
Are there any available Provayblue patient assistance programs?
Our team did not identify a source for Provayblue patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Provayblue prescribing information?
Provayblue prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →
Where can I find Provayblue side effect information?
Our team has not yet identified a source of side effects information for Provayblue. Please check back in a few weeks.
Does billing Provayblue require JZ/JW wastage modifiers?
CMS does not include Provayblue (Q9968) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing Q9968. For more information, visit the link below.

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