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See a sample rate comparisonCPT 78454 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.
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
| 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 |
| Medicare Fee Schedule | View Medicare rates for 78454 |
| Medicaid Fee Schedule | View Medicaid rates for 78454 |
National average reimbursement for CPT 78454 by major payers:
$489.24
$457.92
$460.16
$611.64
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CPT 78454
5 of 25 sample ratesHigher to lower in this preview
Ernest Kendrick
Northern Arizona Healthcare Corporation
$756.98Published rateWilliam Drexler
Northern Arizona Healthcare Corporation
$350.39Published rateJonathan Weiser
Northern Arizona Healthcare Corporation
$244.80Published rateRaymond Lieber
Northern Arizona Healthcare Corporation
$105.59Published rateSunrise Home Health Care Inc.
Sunrise Home Health Care Inc
$25.92Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 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-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 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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