The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 78491. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
38
Median % of Medicare
--
Rate range
$51.85 - $1,893.94
78491 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $114.19 | -- | -- | 2026 |
| Alabama | $1,008.53 | -- | -- | 2026 |
| Arkansas | $176.69 | -- | -- | 2026 |
| Arizona | $1,520.71 | -- | -- | 2020 |
| Colorado | $1,034.91 | -- | Required | 2026 |
| Connecticut | $1,056.41 | -- | -- | 2026 |
| Delaware | $1,483.76 | -- | -- | 2026 |
| Iowa | $149.26 | -- | -- | 2024 |
| Idaho | $609.86 | -- | Not required | 2026 |
| Illinois | $127.27 | -- | -- | 2011 |
| Indiana | $1,440.93 | -- | Required | 2025 |
| Kentucky | $59.26* | -- | Required | 2026 |
| Massachusetts | $51.85* | -- | -- | 2025 |
| Maine | $829.73 | -- | -- | 2026 |
| Michigan | $832.79 | -- | -- | 2026 |
| Minnesota | $337.83 | -- | -- | 2026 |
| Missouri | $412.36 | -- | Required | 2022 |
| Mississippi | $1,193.06 | -- | -- | 2026 |
| Montana | $441.10 | -- | -- | 2026 |
| North Carolina | $923.51 | -- | -- | 2025 |
| North Dakota | $882.72 | -- | Not required | 2026 |
| Nebraska | $999.04 | -- | -- | 2026 |
| New Hampshire | $1,051.92 | -- | Required | 2026 |
| New Jersey | $117.00 | -- | Not required | 2026 |
| New Mexico | $1,712.73 | -- | -- | 2025 |
| Nevada | $277.85 | -- | -- | 2024 |
| New York | $487.83 | -- | -- | 2026 |
| Ohio | $560.72 | -- | -- | 2018 |
| Oklahoma | $1,285.57 | -- | -- | 2026 |
| Oregon | $57.12* | -- | -- | 2026 |
| Rhode Island | $1,700.13 | -- | -- | 2026 |
| South Carolina | $575.97 | -- | -- | 2011 |
| Utah | $68.06* | -- | Not required | 2026 |
| Virginia | $1,893.94 | -- | -- | 2009 |
| Vermont | $59.11 | -- | -- | 2026 |
| Washington | $897.07 | -- | -- | 2026 |
| West Virginia | $973.32 | -- | -- | 2026 |
| Wyoming | $61.63 | -- | -- | 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 78491?
38 state Medicaid programs publish a fee-for-service rate for 78491 (heart PET perfusion scan, single study), ranging from $51.85 in Massachusetts to $1,893.94 in Virginia. The full table on this page lists every publishing state's current rate.
Which state pays the most for 78491?
Virginia publishes the highest Medicaid rate for 78491 at $1,893.94. Massachusetts publishes the lowest at $51.85.
Does 78491 require prior authorization under Medicaid?
5 of the 38 publishing states flag 78491 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".