The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 78433. 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
$63.90 - $4,014.64
78433 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $162.73 | -- | -- | 2026 |
| Arkansas | $127.72 | -- | -- | 2026 |
| Arizona | $705.06 | -- | -- | 2026 |
| California | $93.09 | -- | -- | 2026 |
| Colorado | $1,009.08 | -- | Required | 2026 |
| Connecticut | $1,826.64 | -- | -- | 2020 |
| District of Columbia | $87.02* | -- | Not required | 2026 |
| Delaware | $2,277.09 | -- | -- | 2026 |
| Iowa | $2,166.06 | -- | -- | 2024 |
| Illinois | $1,667.51 | -- | -- | 2024 |
| Kentucky | $86.40* | -- | Required | 2026 |
| Massachusetts | $74.95* | -- | -- | 2025 |
| Maine | $1,302.62 | -- | -- | 2026 |
| Michigan | $63.90* | -- | -- | 2026 |
| Minnesota | $562.45 | -- | -- | 2026 |
| Missouri | $2,025.45 | -- | Required | 2026 |
| Mississippi | $1,830.50 | -- | -- | 2026 |
| Montana | $137.96* | -- | -- | 2026 |
| North Dakota | $111.15* | -- | Not required | 2026 |
| Nebraska | $4,014.64 | -- | -- | 2026 |
| New Hampshire | $1,570.18 | -- | Not required | 2026 |
| New Jersey | $1,543.40 | -- | Not required | 2026 |
| New Mexico | $100.14 | -- | -- | 2023 |
| Nevada | $206.25 | -- | -- | 2024 |
| New York | $1,625.72 | -- | -- | 2026 |
| Oklahoma | $1,972.58 | -- | -- | 2026 |
| Oregon | $80.95* | -- | -- | 2026 |
| Rhode Island | $3,485.14 | -- | -- | 2026 |
| South Carolina | $75.25* | -- | -- | 2024 |
| Utah | $96.43* | -- | Not required | 2026 |
| Virginia | $86.81* | -- | -- | 2020 |
| Vermont | $83.85 | -- | -- | 2026 |
| Washington | $2,106.51 | -- | -- | 2026 |
| Wisconsin | $2,172.52 | -- | -- | 2020 |
| West Virginia | $1,493.04 | -- | -- | 2026 |
| Wyoming | $87.98 | -- | -- | 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 78433?
36 state Medicaid programs publish a fee-for-service rate for 78433 (heart PET/CT scan, perfusion and metabolism), ranging from $63.90 in Michigan to $4,014.64 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 78433?
Nebraska publishes the highest Medicaid rate for 78433 at $4,014.64. Michigan publishes the lowest at $63.90.
Does 78433 require prior authorization under Medicaid?
3 of the 36 publishing states flag 78433 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".