The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 78432. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
36
Median % of Medicare
--
Rate range
$60.71 - $4,004.88
78432 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $153.32 | -- | -- | 2026 |
| Arkansas | $116.88 | -- | -- | 2026 |
| Arizona | $611.07 | -- | -- | 2026 |
| California | $85.19 | -- | -- | 2026 |
| Colorado | $923.13 | -- | Required | 2026 |
| Connecticut | $1,820.97 | -- | -- | 2020 |
| District of Columbia | $82.90* | -- | Not required | 2026 |
| Delaware | $1,594.28 | -- | -- | 2026 |
| Iowa | $2,158.59 | -- | -- | 2024 |
| Illinois | $1,528.84 | -- | -- | 2024 |
| Kentucky | $79.04* | -- | Required | 2026 |
| Massachusetts | $68.69* | -- | -- | 2025 |
| Maine | $1,165.99 | -- | -- | 2026 |
| Michigan | $60.71* | -- | -- | 2026 |
| Minnesota | $527.97 | -- | -- | 2026 |
| Missouri | $1,395.45 | -- | Required | 2026 |
| Mississippi | $1,360.75 | -- | -- | 2026 |
| Montana | $129.33* | -- | -- | 2026 |
| North Dakota | $105.51* | -- | Not required | 2026 |
| Nebraska | $4,004.88 | -- | -- | 2026 |
| New Hampshire | $1,524.68 | -- | Not required | 2026 |
| New Jersey | $1,538.50 | -- | Not required | 2026 |
| New Mexico | $91.87 | -- | -- | 2023 |
| Nevada | $188.65 | -- | -- | 2024 |
| New York | $1,285.73 | -- | -- | 2026 |
| Oklahoma | $1,382.44 | -- | -- | 2026 |
| Oregon | $76.88* | -- | -- | 2026 |
| Rhode Island | $3,485.14 | -- | -- | 2026 |
| South Carolina | $68.80* | -- | -- | 2024 |
| Utah | $91.47* | -- | Not required | 2026 |
| Virginia | $82.47* | -- | -- | 2020 |
| Vermont | $79.61 | -- | -- | 2026 |
| Washington | $1,663.19 | -- | -- | 2026 |
| Wisconsin | $2,165.36 | -- | -- | 2020 |
| West Virginia | $1,110.20 | -- | -- | 2026 |
| Wyoming | $82.45 | -- | -- | 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 78432?
36 state Medicaid programs publish a fee-for-service rate for 78432 (heart PET scan, perfusion and metabolism, no CT), ranging from $60.71 in Michigan to $4,004.88 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 78432?
Nebraska publishes the highest Medicaid rate for 78432 at $4,004.88. Michigan publishes the lowest at $60.71.
Does 78432 require prior authorization under Medicaid?
3 of the 36 publishing states flag 78432 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".