The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 78434. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
33
Median % of Medicare
--
Rate range
$18.21 - $775.57
78434 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $46.30 | -- | -- | 2026 |
| Arkansas | $35.64 | -- | -- | 2026 |
| Arizona | $108.76 | -- | -- | 2026 |
| California | $27.01 | -- | -- | 2026 |
| Colorado | $291.63 | -- | Required | 2026 |
| Connecticut | $128.46* | -- | -- | 2020 |
| District of Columbia | $25.02* | -- | Not required | 2026 |
| Delaware | $183.03 | -- | -- | 2026 |
| Illinois | $18.21 | -- | -- | 2020 |
| Kansas | $162.48 | -- | -- | 2020 |
| Kentucky | $24.86* | -- | Required | 2026 |
| Massachusetts | $21.45* | -- | -- | 2025 |
| Maine | $88.92 | -- | -- | 2026 |
| Michigan | $93.03 | -- | -- | 2026 |
| Minnesota | $159.26 | -- | -- | 2026 |
| Missouri | $22.13* | -- | Not required | 2022 |
| Mississippi | $539.58 | -- | -- | 2026 |
| Montana | $39.05* | -- | -- | 2026 |
| North Dakota | $31.92* | -- | Not required | 2026 |
| Nebraska | $775.57 | -- | -- | 2026 |
| New Hampshire | $125.94 | -- | Not required | 2026 |
| New Jersey | $97.79 | -- | Not required | 2026 |
| New Mexico | $28.56 | -- | -- | 2023 |
| Nevada | $59.45 | -- | -- | 2024 |
| New York | $25.25* | -- | -- | 2026 |
| Oklahoma | $586.24 | -- | -- | 2026 |
| Oregon | $23.21* | -- | -- | 2026 |
| Utah | $27.60* | -- | Not required | 2026 |
| Virginia | $24.88* | -- | -- | 2020 |
| Vermont | $24.04 | -- | -- | 2026 |
| Washington | $136.24 | -- | -- | 2026 |
| West Virginia | $20.25* | -- | -- | 2026 |
| Wyoming | $24.89 | -- | -- | 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 78434?
33 state Medicaid programs publish a fee-for-service rate for 78434 (heart PET blood flow quantification (add-on)), ranging from $18.21 in Illinois to $775.57 in Nebraska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 78434?
Nebraska publishes the highest Medicaid rate for 78434 at $775.57. Illinois publishes the lowest at $18.21.
Does 78434 require prior authorization under Medicaid?
2 of the 33 publishing states flag 78434 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".