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See a sample rate comparisonCPT 78452 Fee Schedule
Medicare rates as of October 2026
CPT 78452 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
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
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $427.87 national non-facility rate (2026) · View Medicare rates for 78452 |
| Medicaid Fee Schedule | $346.665 median of the 8 states in the free preview · View Medicaid rates for 78452 |
National average reimbursement for CPT 78452 by major payers:
$538.29
BCBS / Anthem
$595.68
UnitedHealthcare
$573.94
Aetna
$671.35
Cigna
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CPT 78452
5 of 25 sample ratesHigher to lower in this preview
Isha Ranadive
$896.59Published rateJay Amin
Baycare Medical Group Inc
$449.23Published rateAndrew Moses
$381.82Published rateAndrew Cappiello
Adventist Health System-Sunbelt Inc
$301.77Published rateHarris Boyiadzis
$64.48Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78452 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78452. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| 78454-CPT | Moderate | Ht Musc Image Planar Mult, Myocardial Perfusion Imaging Planar Including 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78452. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78452 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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Frequently Asked Questions
CPT 78452 is a medical billing code for Myocardial Perfusion Imaging Tomographic (SPECT) procedures. These procedures typically involve multiple studies at rest or stress, and/or redistribution and/or rest reinjection. Healthcare providers use this code to document and receive reimbursement for visits involving moderate-level medical decision-making.
A fee schedule is a list of fixed prices that healthcare providers charge for specific services like CPT 78452. These prices vary based on the payer type (Medicare, Medicaid, private insurance), geographic location, and specific provider contracts. Understanding the fee schedule helps patients estimate costs and enables providers to optimize their billing. For specific fee schedule information tailored to your location and CPT code, you can use Payerprice's fee schedule lookup tool.
Factors that affect fee schedules include Medicare & Medicaid rates (which are government-set), private insurance rates (negotiated between providers and insurance companies), geographic location (costs may be higher in urban areas), and the provider type (hospital providers may have different rates than those in private practice).
CPT 78452 is categorized under Radiology Procedures for Nuclear Medicine and signifies a moderate-complexity encounter. It typically involves more provider time and moderate medical decision-making compared to lower-level codes. This often includes multiple diagnoses, medication management, or test interpretation, which results in higher reimbursement.