The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 78608. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
44
Median % of Medicare
--
Rate range
$50.78 - $1,985.94
78608 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $107.90 | -- | -- | 2026 |
| Alabama | $1,985.94 | -- | -- | 2026 |
| Arkansas | $119.00 | -- | -- | 2026 |
| Arizona | $1,518.45 | -- | -- | 2020 |
| Colorado | $1,900.80 | -- | Required | 2026 |
| Connecticut | $1,245.08 | -- | Required | 2026 |
| District of Columbia | $1,097.27 | -- | Required | 2008 |
| Delaware | $1,479.82 | -- | -- | 2026 |
| Hawaii | $1,495.20 | -- | -- | 2025 |
| Iowa | $177.09 | -- | -- | 2024 |
| Idaho | $989.53 | -- | Not required | 2026 |
| Illinois | $127.27 | -- | -- | 2026 |
| Indiana | $1,088.04 | -- | Required | 2024 |
| Kansas | $1,204.70 | -- | -- | 2023 |
| Kentucky | $840.35 | -- | Required | 2026 |
| Louisiana | $906.30 | -- | -- | 2026 |
| Massachusetts | $50.78* | -- | -- | 2025 |
| Maine | $840.83 | -- | -- | 2026 |
| Michigan | $830.56 | -- | -- | 2026 |
| Minnesota | $425.05 | -- | -- | 2026 |
| Missouri | $728.59 | -- | Required | 2022 |
| Mississippi | $1,189.67 | -- | -- | 2026 |
| Montana | $435.00 | -- | -- | 2026 |
| North Carolina | $846.25 | -- | -- | 2025 |
| North Dakota | $1,526.17 | -- | Not required | 2026 |
| Nebraska | $1,146.16 | -- | -- | 2026 |
| New Hampshire | $1,075.11 | -- | Required | 2026 |
| New Jersey | $1,080.00 | -- | Not required | 2026 |
| New Mexico | $1,712.73 | -- | -- | 2025 |
| Nevada | $1,827.14 | -- | -- | 2024 |
| New York | $599.94 | -- | -- | 2026 |
| Ohio | $515.62 | -- | -- | 2018 |
| Oklahoma | $1,281.98 | -- | -- | 2026 |
| Oregon | $53.78* | -- | -- | 2026 |
| Rhode Island | $1,523.85 | -- | -- | 2026 |
| South Carolina | $588.22 | -- | -- | 2011 |
| Texas | $1,268.58* | -- | -- | 2026 |
| Utah | $64.24* | -- | Not required | 2026 |
| Virginia | $1,226.60 | -- | -- | 2009 |
| Vermont | $55.58 | -- | -- | 2026 |
| Washington | $963.60 | -- | -- | 2026 |
| Wisconsin | $986.11 | -- | -- | 2009 |
| West Virginia | $970.88 | -- | -- | 2026 |
| Wyoming | $59.01 | -- | -- | 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 78608?
44 state Medicaid programs publish a fee-for-service rate for 78608 (brain PET scan, metabolic), ranging from $50.78 in Massachusetts to $1,985.94 in Alabama. The full table on this page lists every publishing state's current rate.
Which state pays the most for 78608?
Alabama publishes the highest Medicaid rate for 78608 at $1,985.94. Massachusetts publishes the lowest at $50.78.
Does 78608 require prior authorization under Medicaid?
7 of the 44 publishing states flag 78608 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".