The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 78609. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Publishing states
27
Median % of Medicare
--
Rate range
$50.02 - $1,900.80
78609 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $134.65 | -- | -- | 2026 |
| Arkansas | $119.00 | -- | -- | 2026 |
| Arizona | $73.22 | -- | -- | 2025 |
| Colorado | $1,900.80 | -- | Required | 2026 |
| District of Columbia | $62.46 | -- | Not required | 2026 |
| Delaware | $68.50 | -- | -- | 2026 |
| Iowa | $55.73 | -- | -- | 2024 |
| Idaho | $1,088.46 | -- | Not required | 2025 |
| Illinois | $127.27 | -- | -- | 2026 |
| Indiana | $67.10 | -- | Required | 2025 |
| Kentucky | $843.32 | -- | Required | 2026 |
| Louisiana | $905.96 | -- | -- | 2026 |
| Massachusetts | $53.06 | -- | -- | 2025 |
| Maine | $50.14 | -- | -- | 2026 |
| Minnesota | $54.80 | -- | Required | 2026 |
| Missouri | $990.42 | -- | Required | 2022 |
| North Carolina | $855.71 | -- | -- | 2025 |
| Nebraska | $387.19 | -- | -- | 2026 |
| New Hampshire | $813.05 | -- | Required | 2026 |
| New Mexico | $1,462.87 | -- | -- | 2023 |
| Nevada | $657.98 | -- | -- | 2024 |
| New York | $599.94 | -- | -- | 2026 |
| South Carolina | $52.47 | -- | -- | 2024 |
| Utah | $68.59* | -- | Not required | 2026 |
| Vermont | $59.95 | -- | -- | 2026 |
| West Virginia | $50.02 | -- | -- | 2026 |
| Wyoming | $52.14 | -- | -- | 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 78609?
27 state Medicaid programs publish a fee-for-service rate for 78609 (brain PET scan, blood flow), ranging from $50.02 in West Virginia to $1,900.80 in Colorado. The full table on this page lists every publishing state's current rate.
Which state pays the most for 78609?
Colorado publishes the highest Medicaid rate for 78609 at $1,900.80. West Virginia publishes the lowest at $50.02.
Does 78609 require prior authorization under Medicaid?
6 of the 27 publishing states flag 78609 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".