The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for 78815. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
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Publishing states
45
Median % of Medicare
--
Rate range
$83.64 - $3,375.35
78815 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Alaska | $3,375.35 | -- | -- | 2026 |
| Alabama | $2,088.27 | -- | -- | 2026 |
| Arkansas | $1,576.74 | -- | -- | 2026 |
| Arizona | $1,568.04 | -- | -- | 2020 |
| California | $2,127.01 | -- | -- | 2026 |
| Colorado | $1,283.82 | -- | Required | 2026 |
| Connecticut | $1,369.00 | -- | Required | 2015 |
| District of Columbia | $1,114.97 | -- | Varies | 2013 |
| Delaware | $1,521.58 | -- | -- | 2026 |
| Georgia | $2,127.48 | -- | -- | 2026 |
| Iowa | $820.13 | -- | -- | 2024 |
| Idaho | $609.86 | -- | Not required | 2026 |
| Illinois | $147.33 | -- | -- | 2024 |
| Indiana | $1,479.30 | -- | Required | 2025 |
| Kansas | $1,241.12 | -- | -- | 2023 |
| Kentucky | $1,044.56 | -- | Required | 2026 |
| Louisiana | $941.97 | -- | -- | 2026 |
| Massachusetts | $83.64* | -- | -- | 2025 |
| Maine | $1,049.76 | -- | -- | 2026 |
| Michigan | $855.52 | -- | -- | 2026 |
| Minnesota | $696.76 | -- | -- | 2026 |
| Missouri | $728.59 | -- | Required | 2022 |
| Mississippi | $1,212.17 | -- | -- | 2026 |
| Montana | $730.18 | -- | -- | 2026 |
| North Carolina | $885.71 | -- | -- | 2025 |
| North Dakota | $1,567.93 | -- | Not required | 2026 |
| Nebraska | $1,324.69 | -- | -- | 2026 |
| New Hampshire | $1,312.56 | -- | Required | 2026 |
| New Jersey | $836.64 | -- | Not required | 2026 |
| New Mexico | $2,811.74 | -- | -- | 2025 |
| Nevada | $1,128.56 | -- | -- | 2024 |
| New York | $546.41 | -- | -- | 2026 |
| Ohio | $918.08 | -- | -- | 2018 |
| Oklahoma | $1,320.62 | -- | -- | 2026 |
| Oregon | $88.16* | -- | -- | 2026 |
| Rhode Island | $1,523.85 | -- | -- | 2026 |
| South Carolina | $786.31 | -- | -- | 2011 |
| Texas | $1,304.23* | -- | -- | 2026 |
| Utah | $105.33* | -- | Not required | 2026 |
| Virginia | $421.67 | -- | -- | 2026 |
| Vermont | $91.07 | -- | -- | 2026 |
| Washington | $989.58 | -- | -- | 2026 |
| Wisconsin | $2,258.22 | -- | -- | 2005 |
| West Virginia | $1,001.38 | -- | -- | 2026 |
| Wyoming | $97.21 | -- | -- | 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
- 70110 - Jaw (mandible) X-ray, 4 or more views
- 70140 - Facial bone X-ray, under 3 views
- 70160 - Nasal bone X-ray
- 70220 - Sinus X-ray, 3 or more views
- 70360 - Neck soft tissue X-ray
- 70450 - CT scan of the head without contrast
- 70480 - CT scan of the eye socket or inner ear without contrast
- 70486 - CT scan of the face and sinuses without contrast
Frequently asked questions
How much does Medicaid pay for 78815?
45 state Medicaid programs publish a fee-for-service rate for 78815 (pET-CT scan, skull to mid-thigh), ranging from $83.64 in Massachusetts to $3,375.35 in Alaska. The full table on this page lists every publishing state's current rate.
Which state pays the most for 78815?
Alaska publishes the highest Medicaid rate for 78815 at $3,375.35. Massachusetts publishes the lowest at $83.64.
Does 78815 require prior authorization under Medicaid?
6 of the 45 publishing states flag 78815 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".