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See a sample rate comparisonCPT 78468 Fee Schedule
Medicare rates as of October 2026
CPT 78468 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
Heart Scan After Heart Attack, A Radioactive Substance Is Injected And Its Movement Through The Heart Is Recorded By A High-Energy Camera For Several Heart Cycles. The Procedure Helps To Identify The Extent And Location Of Any Heart Muscle Injury.
| Key Fact | Detail |
|---|---|
| Service Type | Radiology Procedures Nuclear Medicine Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component XU - Unusual Non-Overlapping Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $183.04 national non-facility rate (2026) · View Medicare rates for 78468 |
| Medicaid Fee Schedule | $147.50 median of the 8 states in the free preview · View Medicaid rates for 78468 |
National average reimbursement for CPT 78468 by major payers:
$227.64
BCBS / Anthem
$231.76
UnitedHealthcare
$212.31
Aetna
$278.50
Cigna
Compare published rates across providers.
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CPT 78468
5 of 25 sample ratesHigher to lower in this preview
Vernon Williams
Radiology Associates Of North Texas, PA
$519.70Published rateKenneth Veiga
Northern Arizona Healthcare Corporation
$372.58Published rateChristopher Raio
Mercy Medical Center
$238.39Published rateGregory Duhon
Northern Arizona Healthcare Corporation
$72.00Published rateMazhar Ali
Northern Arizona Healthcare Corporation
$33.75Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 78468 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78468. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 78466-CPT | Moderate | Heart Scan After Heart Attack, A Radioactive Substance Is Injected And Its Movement Through The Heart Is Recorded By A High-Energy Camera For Several Heart Cycles. The Procedure Helps To Identify The Extent And Location Of Any Heart Muscle Injury. |
| 78468-CPT | Moderate | Heart Scan After Heart Attack, A Radioactive Substance Is Injected And Its Movement Through The Heart Is Recorded By A High-Energy Camera For Several Heart Cycles. The Procedure Helps To Identify The Extent And Location Of Any Heart Muscle Injury. |
| 78469-CPT | Moderate | 3d Ct Scan Of Heart For Injury, A True 3-D Scan Of The Heart Uses A High-Energy Ct (Computed Tomography) Scanner (Spect). The Procedure Helps To Identify The Extent And Location Of Any Heart Muscle Injury After A Heart Attack. |
| 78494-CPT | Moderate | 3-D Ct Scan Heart Blood Flow, A True 3-D Scan Of The Heart Uses A High-Energy Ct (Computed Tomography) Scanner (Spect). Images Are Taken After Giving A Radioactive Substance By Mouth Or Iv To Highlight Blood Flow. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78468. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78468 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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