A9552
CPT/HCPCSFluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
Physician Fee Schedule
Facility
Medicare Payment
$133.12
Submitted Charge$437.84
Medicare Allowed$166.60
Providers14
Beneficiaries23
Total Services30
Office
Medicare Payment
$253.59
Submitted Charge$721.98
Medicare Allowed$318.54
Providers3,769
Beneficiaries191,965
Total Services258,038.4