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See a sample rate comparisonHCPCS A9552 Fee Schedule
HCPCS A9552 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $269.11 median of the 8 states in the free preview · View Medicaid rates for A9552 |
National average reimbursement for HCPCS A9552 by major payers:
$363.33
BCBS / Anthem
$364.63
UnitedHealthcare
$350.92
Aetna
$672.11
Cigna
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HCPCS A9552
5 of 25 sample ratesHigher to lower in this preview
Joseph Maakaron
Healtheast St Johns Hospital
$648.79Published rateAllan Cass
$380.92Published rateGregory Smith
Community Physicians Of Indiana Inc
$359.04Published rateAmerican Oncology Partners, P.A.
$359.04Published rateBolanle Adepoju
Goshen Health System Inc
$357.60Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9552 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9552. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9551-HCPCS | Moderate | Technetium Tc-99m succimer, diagnostic, per study dose, up to 10 millicuries |
| A9552-HCPCS | Moderate | Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 millicuries |
| A9553-HCPCS | Moderate | Chromium Cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9552. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9552 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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