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See a sample rate comparisonCPT 78454 Fee Schedule
CPT 78454 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
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 | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 78454 |
| Medicaid Fee Schedule | $315.28 median of the 8 states in the free preview · View Medicaid rates for 78454 |
National average reimbursement for CPT 78454 by major payers:
$489.24
BCBS / Anthem
$457.92
UnitedHealthcare
$460.16
Aetna
$611.64
Cigna
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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 table lists codes related to 78454. 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 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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