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See a sample rate comparisonCPT 78445 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Scan Of Blood Flow, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Blood Flow On A Scan So That Any Weakness Damage Or Blockage In A Blood Vessel May Be Viewed More Easily.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 26 - Professional component MG - The order for this service does not have appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 78445 |
| Medicaid Fee Schedule | View Medicaid rates for 78445 |
National average reimbursement for CPT 78445 by major payers:
$231.36
$206.37
$208.66
$261.29
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CPT 78445
5 of 25 sample ratesHigher to lower in this preview
Justin Mccaslin
Radiology Associates Of North Texas, PA
$460.14Published rateSusan Wall
Northern Arizona Healthcare Corporation
$313.30Published rateBaycare Home Care, Inc., Dba Sarasota Memorial Home Care
Baycare Home Care Inc
$219.10Published rateMorgan Fisher
Radiology Associates Of North Texas, PA
$59.54Published rateMatthew Horn
Northern Arizona Healthcare Corporation
$22.09Published rate
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See a sample payer proposalCPT 78445 vs. Other Nuclear Medicine Procedures Codes
The CPT 78445 code is part of the Radiology Procedures services used for Nuclear Medicine Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 78445 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 78445-CPT | Moderate | Scan Of Blood Flow, A Radioactive Substance Is Given By Mouth Or Iv. This Highlights Blood Flow On A Scan So That Any Weakness Damage Or Blockage In A Blood Vessel May Be Viewed More Easily. |
| 78451-CPT | Moderate | Ht Muscle Image Spect Sing, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Single Study At Rest Or Stress Exercise Or Pharmacologic |
| 78452-CPT | Moderate | Ht Muscle Image Spect Mult, Myocardial Perfusion Imaging Tomographic Spect Including Attenuation Correction Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Multiple Studies At Rest And Or Stress Exercise Or Pharmacologic And Or Redistribution And Or Rest Reinjection |
| 78453-CPT | Moderate | Ht Muscle Image Planar Sing, Myocardial Perfusion Imaging Planar Including Qualitative Or Quantitative Wall Motion Ejection Fraction By First Pass Or Gated Technique Additional Quantification When Performed Single Study At Rest Or Stress Exercise Or Pharmacologic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78445. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78445 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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