Code: A9552

Description:
Description: Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
HCPCS Category: Transportation, medical and surgical supplies, miscellaneous and experimental
Other Descriptions:
HC FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI
HC RP FDG UP TO 45 MCI
FLUORODEOXYGLUCOSE F-18 FDG DX UP TO 45 MCI
COMPONENT DF 2.5X3.5
FDG (PER DOSE) (4-40MCI)
ISOTOPE DIAGNOSTIC PET
F18 Fdg Dose
Pet Scan Isotp Up To 45mci
F18 Fdg
Related codes:
Code: A9550
TC99M SOD GLUCE DX 25MCI
Code: A9551
TC99M SUCCIMER DX 10MCI
Code: A9553
CR51 SOD CHROM DX 250UCI
Code: A9554
I125 SOD IOTHAL DX 10UCI
Code: A9555
RUBIDIUM RB82 DX 60 MCI
Code: A9556
GA67 CITRATE DX 1 MCI
Code: A9557
TC99M BICISATE DX 25 MCI
Code: A9558
XENON XE133 GAS DX 10MCI
Code: A9559
CO57 CYANOCO ORAL DX UCI
Tennessee
Hospital Address Code Price Last Updated
Riverview Regional Medical Center 158 Hospital Drive, Carthage A9552 $76 [source] 3 years ago
Sumner Regional Medical Center 555 Hartsville Pike, Gallatin A9552 $198 [source] 3 years ago
Trousdale Medical Center 500 Church Street, Hartsville A9552 $402 [source] 3 years ago
Saint Thomas River Park Hospital, Llc 120 Walnut Commons Ln Ste D, Cookeville A9552 $635 [source] 3 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury A9552 $635 [source] 3 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville A9552 $635 [source] 3 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville A9552 $635 [source] 3 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta A9552 $635 [source] 3 years ago
St. Jude Children's Research Hospital , Memphis A9552 $735 [source] 3 years ago
Starr Regional Medical Center - Athens 1114 West Madison Ave, Athens A9552 $1,345 [source] 3 years ago
Starr Regional Medical Center - Etowah 886 Highway 411 North, Etowah A9552 $1,345 [source] 3 years ago
Southern Tennessee Regional Health System - Winchester 185 Hospital Road, Winchester A9552 $1,862 [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.