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See a sample rate comparisonCPT 78459 Fee Schedule
Medicare rates as of October 2026
CPT 78459 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
Myocrd Img Pet Single Study, Myocardial Imaging Positron Emission Tomography Pet Metabolic Evaluation Study Including Ventricular Wall Motion S And Or Ejection Fraction S When Performed Single Study
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $70.81 national non-facility rate (2026) · View Medicare rates for 78459 |
| Medicaid Fee Schedule | $491.18 median of the 6 states in the free preview · View Medicaid rates for 78459 |
National average reimbursement for CPT 78459 by major payers:
$910.66
BCBS / Anthem
$1,542.46
UnitedHealthcare
$1,371.43
Aetna
$1,066.52
Cigna
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CPT 78459
5 of 25 sample ratesHigher to lower in this preview
Justin Sacks
Radiology Associates Of North Texas, PA
$3,410.59Published rateScott Krankkala
Northern Arizona Healthcare Corporation
$2,390.78Published rateRyan Guy
Northern Arizona Healthcare Corporation
$1,147.29Published rateAdam Weiss
Northern Arizona Healthcare Corporation
$130.66Published rateDa Pediatric Rehabilitation
$40.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78459 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78459. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 78429-CPT | Moderate | Myocrd Img Pet 1 Std W Ct, Myocardial Imaging Positron Emission Tomography Pet Metabolic Evaluation Study Including Ventricular Wall Motion S And Or Ejection Fraction S When Performed Single Study With Concurrently Acquired Computed Tomography Transmission Scan |
| 78430-CPT | Moderate | Myocrd Img Pet Rst Strs W Ct, Myocardial Imaging Positron Emission Tomography Pet Perfusion Study Including Ventricular Wall Motion S And Or Ejection Fraction S When Performed Single Study At Rest Or Stress Exercise Or Pharmacologic With Concurrently Acquired Computed Tomography Transmission Scan |
| 78431-CPT | High | Myocrd Img Pet Rst Strs Ct, Myocardial Imaging Positron Emission Tomography Pet Perfusion Study Including Ventricular Wall Motion S And Or Ejection Fraction S When Performed Multiple Studies At Rest And Stress Exercise Or Pharmacologic With Concurrently Acquired Computed Tomography Transmission Scan |
| 78459-CPT | Moderate | Myocrd Img Pet Single Study, Myocardial Imaging Positron Emission Tomography Pet Metabolic Evaluation Study Including Ventricular Wall Motion S And Or Ejection Fraction S When Performed Single Study |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78459. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78459 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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