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See a sample rate comparisonCPT 78473 Fee Schedule
Medicare rates as of October 2026
CPT 78473 is classified under Radiology Procedures, in the Nuclear Medicine Procedures subgroup.
Heart Blood Pool Scan, A Heart Blood Pool Scan Shows How Well The Heart Is Pumping Blood. One Or More Pictures Of The Heart Will Be Taken During The Scan After A Radioactive Substance Is Given To Highlight The Blood Flow. Pictures May Be Taken At Rest And While Exercising.
| 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 | $266.87 national non-facility rate (2026) · View Medicare rates for 78473 |
| Medicaid Fee Schedule | $215.435 median of the 8 states in the free preview · View Medicaid rates for 78473 |
National average reimbursement for CPT 78473 by major payers:
$338.66
BCBS / Anthem
$363.60
UnitedHealthcare
$337.05
Aetna
$427.94
Cigna
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CPT 78473
5 of 25 sample ratesHigher to lower in this preview
Michael Mccrary
Radiology Associates Of North Texas, PA
$907.27Published rateAlexander Kelley
Radiology Associates Of North Texas, PA
$576.54Published rateChristopher Raio
St Francis Hospital
$366.91Published rateHassan Shafeeq
Northern Arizona Healthcare Corporation
$191.72Published rateRestorative Health Rehabilitation Inc
$60.00Published rate
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See a sample payer proposalCPT 78473 vs. Other Nuclear Medicine Procedures Codes
The table lists codes related to 78473. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 78472-CPT | Moderate | Heart Blood Pool Scan, A Heart Blood Pool Scan Shows How Well The Heart Is Pumping Blood. One Or More Pictures Of The Heart Will Be Taken During The Scan After A Radioactive Substance Is Given To Highlight The Blood Flow. Pictures May Be Taken At Rest And While Exercising. |
| 78473-CPT | Moderate | Heart Blood Pool Scan, A Heart Blood Pool Scan Shows How Well The Heart Is Pumping Blood. One Or More Pictures Of The Heart Will Be Taken During The Scan After A Radioactive Substance Is Given To Highlight The Blood Flow. Pictures May Be Taken At Rest And While Exercising. |
| 78481-CPT | Moderate | Heart First Pass Single, Cardiac Blood Pool Imaging Planar First Pass Technique Single Study At Rest Or With Stress Exercise And Or Pharmacologic Wall Motion Study Plus Ejection Fraction With Or Without Quantification |
| 78483-CPT | Moderate | Heart Blood Pool Scan, A Heart Blood Pool Scan Shows How Well The Heart Is Pumping Blood. One Or More Pictures Of The Heart Will Be Taken During The Scan After A Radioactive Substance Is Given To Highlight The Blood Flow. Pictures May Be Taken At Rest And While Exercising. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 78473. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 78473 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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