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Tennessee rates for HCPCS A9552

Fluorodeoxyglucose F-18 FDG, diagnostic, per study dose, up to 45 mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.75 / $512.40 / $1,396.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.69 / $313.70 / $321.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.50 / $309.77 / $336.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.00 / $201.65 / $216.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.58 / $2,368.40 / $2,368.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,216.92 / $2,216.92 / $3,651.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.10 / $359.05 / $359.05