# CPT 78454: Myocardial Perfusion Planar Multiple Studies

Medicare CPT 78454 pays $382.11 in a non-facility setting and $382.11 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $332.79 in Arkansas to $444.39 in District of Columbia, a 34% spread.

Web page: https://www.med-reveal.com/rates/78454-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Cardiovascular Disease

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $382.11 |
| National facility | $382.11 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $444.39 | $444.39 |
| California | $442.69 | $442.69 |
| Washington | $429.21 | $429.21 |
| New Jersey | $426.79 | $426.79 |
| Hawaii | $425.85 | $425.85 |
| New York | $424.43 | $424.43 |
| Massachusetts | $423.83 | $423.83 |
| Alaska | $423.57 | $423.57 |
| Connecticut | $409.66 | $409.66 |
| Colorado | $402.96 | $402.96 |
| Oregon | $399.02 | $399.02 |
| Maryland | $397.22 | $397.22 |
| New Hampshire | $395.20 | $395.20 |
| Rhode Island | $393.44 | $393.44 |
| Minnesota | $388.49 | $388.49 |
| Florida | $387.65 | $387.65 |
| Puerto Rico | $385.71 | $385.71 |
| Virgin Islands | $385.71 | $385.71 |
| Montana | $382.10 | $382.10 |
| Nevada | $381.66 | $381.66 |
| Wyoming | $380.89 | $380.89 |
| North Dakota | $379.33 | $379.33 |
| South Dakota | $379.00 | $379.00 |
| Delaware | $377.85 | $377.85 |
| Texas | $376.84 | $376.84 |
| Vermont | $376.46 | $376.46 |
| Pennsylvania | $375.99 | $375.99 |
| Illinois | $375.26 | $375.26 |
| Virginia | $375.06 | $375.06 |
| Arizona | $371.09 | $371.09 |
| Georgia | $367.75 | $367.75 |
| Maine | $365.51 | $365.51 |
| Wisconsin | $364.86 | $364.86 |
| Michigan | $363.66 | $363.66 |
| Utah | $361.61 | $361.61 |
| North Carolina | $358.06 | $358.06 |
| South Carolina | $356.05 | $356.05 |
| New Mexico | $355.35 | $355.35 |
| Indiana | $355.34 | $355.34 |
| Missouri | $354.56 | $354.56 |
| Nebraska | $353.50 | $353.50 |
| Louisiana | $353.30 | $353.30 |
| Ohio | $353.11 | $353.11 |
| Idaho | $352.95 | $352.95 |
| Iowa | $350.92 | $350.92 |
| Tennessee | $349.58 | $349.58 |
| Kansas | $347.75 | $347.75 |
| Oklahoma | $345.36 | $345.36 |
| Kentucky | $344.67 | $344.67 |
| West Virginia | $340.41 | $340.41 |
| Alabama | $338.37 | $338.37 |
| Mississippi | $334.51 | $334.51 |
| Arkansas | $332.79 | $332.79 |

## Related codes

- 70481: Ct Orbit Sella/post Fossa/ear W/contrast Matrl — https://www.med-reveal.com/rates/70481-cpt-fee-schedule
- 72120: Radex Spine Lumbosacral Only Bending 2/3 Views — https://www.med-reveal.com/rates/72120-cpt-fee-schedule
- 72147: Mri Spinal Canal Thoracic W/contrast Matrl — https://www.med-reveal.com/rates/72147-cpt-fee-schedule
- 73020: Radex Shoulder 1 View — https://www.med-reveal.com/rates/73020-cpt-fee-schedule
- 73080: Radex Elbow Complete Minimum 3 Views — https://www.med-reveal.com/rates/73080-cpt-fee-schedule
- 73206: Ct Angiography Upper Extremity — https://www.med-reveal.com/rates/73206-cpt-fee-schedule
- 73565: Radiologic Exam Both Knees Standing Anteropost — https://www.med-reveal.com/rates/73565-cpt-fee-schedule
- 74022: Radiologic Exam Complete Acute Abdomen Series — https://www.med-reveal.com/rates/74022-cpt-fee-schedule

Commercial negotiated rates for 78454 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules