CPT 78454 Fee Schedule

Last Verified: November 2025

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.

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 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	• 22 - On Campus Outpatient Hospital • 21 - Inpatient Hospital
Common Modifiers	• None • 26 - Professional component • TC - Technical component
Complexity Level	Moderate

National average reimbursement for CPT 78454 by major payers:

$489.24

$457.92

$460.16

$626.32

Preview provider-level rates for...

For billing codeCPT 78454

Payer	Code	Rate	NPI	Tax ID	State	Specialty
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 78454
United	78454	$57.97	1740324235 - DEBORAH MERRILL	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	WA	Anesthesiology Physician (207L00000X)
United	78454	$350.39	1396795167 - MATTHEW HALANSKI	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	WI	Orthopaedic Surgery Physician (207X00000X)
United	78454	$323.01	1104875186 - WILLIAM UTZ	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	MN	Urology Physician (208800000X)
United	78454	$381.00	1588615173 - KEITH HUTCHINSON	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	AZ	Critical Care Medicine (Internal Medicine) Physician (207RC0200X)
United	78454	$381.00	1073838017 - CHRISTOPHER MASON	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	MI	Emergency Medicine Physician (207P00000X)
United	78454	$105.59	1427555168 - GREGORY CALDWELL	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	AZ	Anesthesiology Physician (207L00000X)
United	78454	$105.59	1891006532 - SHIVA KUMAR GOSI	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	AZ	Hospitalist Physician (208M00000X)
United	78454	$57.97	1982988655 - SHILO GIFFORD	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	AZ	Medical Physician Assistant (363AM0700X)
United	78454	$756.98	1124012067 - ERNEST KENDRICK	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	TX	Psychiatry Physician (2084P0800X)
United	78454	$381.00	1467914291 - DANIEL MERRILL	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	CA	Pediatrics Physician (208000000X)
United	78454	$105.59	1114160363 - SANDRA GLICK-RIDLEY	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	AZ	Physical Therapist (225100000X)
United	78454	$445.02	1952309171 - BAYCARE HOME CARE, INC.	593582520 - (FL) BAYCARE HOME CARE INC	FL	Home Health Agency (251E00000X)
United	78454	$244.80	1871577890 - THOMAS TAKASH	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	CA	Anesthesiology Physician (207L00000X)
United	78454	$350.39	1053563965 - RAYMOND LIEBER	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	AZ	Physician Assistant (363A00000X)
United	78454	$105.59	1386163129 - BRENT DAVIDSON	742410946 - NORTHERN ARIZONA HEALTHCARE CORPORATION	TN	Certified Registered Nurse Anesthetist (367500000X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 78454 vs. Other Nuclear Medicine Procedures Codes

The CPT 78454 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 78454 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
78451	Moderate	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	Moderate	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 Or Stress (Exercise Or Pharmacologic) And/Or Redistribution And/Or Rest Reinjection
78453	Moderate	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	Moderate	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 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 78454. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 78454 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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