The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 78429. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
37
Median % of Medicare
--
Rate range
$49.63 - $3,991.20
78429 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $126.27 | -- | -- | 2026 |
| Arkansas | $99.42 | -- | -- | 2026 |
| Arizona | $528.88 | -- | -- | 2026 |
| California | $72.47 | -- | -- | 2026 |
| Colorado | $784.47 | -- | Required | 2026 |
| Connecticut | $1,061.63 | -- | -- | 2026 |
| District of Columbia | $67.52* | -- | Not required | 2026 |
| Delaware | $1,490.63 | -- | -- | 2026 |
| Iowa | $1,158.67 | -- | -- | 2024 |
| Illinois | $59.61 | -- | -- | 2024 |
| Indiana | $1,447.63 | -- | Required | 2025 |
| Kentucky | $67.16* | -- | Required | 2026 |
| Massachusetts | $58.22* | -- | -- | 2025 |
| Maine | $834.49 | -- | -- | 2026 |
| Michigan | $49.63* | -- | -- | 2026 |
| Minnesota | $356.36 | -- | -- | 2026 |
| Missouri | $1,289.03 | -- | Required | 2026 |
| Mississippi | $67.24* | -- | -- | 2026 |
| Montana | $106.21* | -- | -- | 2026 |
| North Dakota | $85.99* | -- | Not required | 2026 |
| Nebraska | $3,991.20 | -- | -- | 2026 |
| New Hampshire | $1,004.42 | -- | Not required | 2026 |
| New Jersey | $844.82 | -- | Not required | 2026 |
| New Mexico | $77.91 | -- | -- | 2023 |
| Nevada | $160.18 | -- | -- | 2024 |
| New York | $1,129.63 | -- | -- | 2026 |
| Oklahoma | $1,292.07 | -- | -- | 2026 |
| Oregon | $62.74* | -- | -- | 2026 |
| Rhode Island | $1,828.41 | -- | -- | 2026 |
| South Carolina | $65.60 | -- | -- | 2020 |
| Utah | $74.90* | -- | Not required | 2026 |
| Virginia | $67.42* | -- | -- | 2020 |
| Vermont | $64.62 | -- | -- | 2026 |
| Washington | $1,240.24 | -- | -- | 2026 |
| Wisconsin | $76.61 | -- | -- | 2020 |
| West Virginia | $978.44 | -- | -- | 2026 |
| Wyoming | $67.75 | -- | -- | 2026 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related lab & imaging codes
- 70030 - X-ray of the eye for a foreign body
- 70100 - Jaw (mandible) X-ray, up to 3 views
- 70110 - Jaw (mandible) X-ray, 4 or more views
- 70120 - X-ray of the mastoids, under 3 views per side
- 70130 - X-ray of the mastoids, complete
- 70134 - X-ray of the inner ear canals, complete
- 70140 - Facial bone X-ray, under 3 views
- 70150 - Facial bone X-ray, complete, 3 or more views
Frequently asked questions
How much does Medicaid pay for 78429?
37 state Medicaid programs publish a fee-for-service rate for 78429 (heart PET/CT scan, metabolic, single study), ranging from $49.63 in Michigan to $3,991.20 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 78429?
Nebraska publishes the highest Medicaid rate for 78429 at $3,991.20. Michigan publishes the lowest at $49.63.
Does 78429 require prior authorization under Medicaid?
4 of the 37 publishing states flag 78429 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".