The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 78430. 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
$47.29 - $3,987.28
78430 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $120.29 | -- | -- | 2026 |
| Arkansas | $94.33 | -- | -- | 2026 |
| Arizona | $528.88 | -- | -- | 2026 |
| California | $68.76 | -- | -- | 2026 |
| Colorado | $744.64 | -- | Required | 2026 |
| Connecticut | $1,058.31 | -- | -- | 2026 |
| District of Columbia | $64.38* | -- | Not required | 2026 |
| Delaware | $1,487.05 | -- | -- | 2026 |
| Iowa | $1,155.15 | -- | -- | 2024 |
| Illinois | $56.69 | -- | -- | 2024 |
| Indiana | $1,444.22 | -- | Required | 2025 |
| Kentucky | $63.75* | -- | Required | 2026 |
| Massachusetts | $55.08* | -- | -- | 2025 |
| Maine | $832.17 | -- | -- | 2026 |
| Michigan | $47.29* | -- | -- | 2026 |
| Minnesota | $411.16 | -- | -- | 2026 |
| Missouri | $1,289.03 | -- | Required | 2026 |
| Mississippi | $1,196.11 | -- | -- | 2026 |
| Montana | $100.31* | -- | -- | 2026 |
| North Dakota | $81.86* | -- | Not required | 2026 |
| Nebraska | $3,987.28 | -- | -- | 2026 |
| New Hampshire | $1,001.22 | -- | Not required | 2026 |
| New Jersey | $842.91 | -- | Not required | 2026 |
| New Mexico | $73.46 | -- | -- | 2023 |
| Nevada | $152.10 | -- | -- | 2024 |
| New York | $1,126.46 | -- | -- | 2026 |
| Oklahoma | $1,288.73 | -- | -- | 2026 |
| Oregon | $59.84* | -- | -- | 2026 |
| Rhode Island | $1,828.41 | -- | -- | 2026 |
| South Carolina | $62.25 | -- | -- | 2020 |
| Utah | $71.35* | -- | Not required | 2026 |
| Virginia | $64.24* | -- | -- | 2020 |
| Vermont | $61.93 | -- | -- | 2026 |
| Washington | $1,131.25 | -- | -- | 2026 |
| Wisconsin | $73.32 | -- | -- | 2020 |
| West Virginia | $975.76 | -- | -- | 2026 |
| Wyoming | $64.04 | -- | -- | 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 78430?
37 state Medicaid programs publish a fee-for-service rate for 78430 (heart PET/CT perfusion scan, single study), ranging from $47.29 in Michigan to $3,987.28 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 78430?
Nebraska publishes the highest Medicaid rate for 78430 at $3,987.28. Michigan publishes the lowest at $47.29.
Does 78430 require prior authorization under Medicaid?
4 of the 37 publishing states flag 78430 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".