# CPT 78469: Myocrd Infarct Avid Plnr Tomog Spect W/wo Quantj

Medicare CPT 78469 pays $203.75 in a non-facility setting and $203.75 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $178.34 in Arkansas to $236.11 in District of Columbia, a 32% spread.

Web page: https://www.med-reveal.com/rates/78469-cpt-fee-schedule
Section: Diagnostic Imaging and Radiology
Billed by: Cardiovascular Disease

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $203.75 |
| National facility | $203.75 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| District of Columbia | $236.11 | $236.11 |
| California | $234.94 | $234.94 |
| Alaska | $228.69 | $228.69 |
| Washington | $228.07 | $228.07 |
| New Jersey | $227.06 | $227.06 |
| Hawaii | $226.05 | $226.05 |
| New York | $225.90 | $225.90 |
| Massachusetts | $225.31 | $225.31 |
| Connecticut | $218.08 | $218.08 |
| Colorado | $214.47 | $214.47 |
| Oregon | $212.40 | $212.40 |
| Maryland | $211.61 | $211.61 |
| New Hampshire | $210.42 | $210.42 |
| Rhode Island | $209.67 | $209.67 |
| Florida | $206.84 | $206.84 |
| Minnesota | $206.82 | $206.82 |
| Puerto Rico | $205.59 | $205.59 |
| Virgin Islands | $205.59 | $205.59 |
| Montana | $203.74 | $203.74 |
| Nevada | $203.47 | $203.47 |
| Wyoming | $203.05 | $203.05 |
| North Dakota | $202.16 | $202.16 |
| South Dakota | $201.97 | $201.97 |
| Delaware | $201.57 | $201.57 |
| Texas | $201.07 | $201.07 |
| Vermont | $200.72 | $200.72 |
| Pennsylvania | $200.70 | $200.70 |
| Illinois | $200.51 | $200.51 |
| Virginia | $200.05 | $200.05 |
| Arizona | $198.06 | $198.06 |
| Georgia | $196.45 | $196.45 |
| Maine | $195.14 | $195.14 |
| Wisconsin | $194.71 | $194.71 |
| Michigan | $194.40 | $194.40 |
| Utah | $193.21 | $193.21 |
| North Carolina | $191.32 | $191.32 |
| South Carolina | $190.35 | $190.35 |
| New Mexico | $190.09 | $190.09 |
| Indiana | $189.89 | $189.89 |
| Missouri | $189.62 | $189.62 |
| Louisiana | $189.00 | $189.00 |
| Nebraska | $188.92 | $188.92 |
| Ohio | $188.89 | $188.89 |
| Idaho | $188.66 | $188.66 |
| Iowa | $187.60 | $187.60 |
| Tennessee | $186.95 | $186.95 |
| Kansas | $186.00 | $186.00 |
| Oklahoma | $184.85 | $184.85 |
| Kentucky | $184.54 | $184.54 |
| West Virginia | $182.49 | $182.49 |
| Alabama | $181.21 | $181.21 |
| Mississippi | $179.28 | $179.28 |
| Arkansas | $178.34 | $178.34 |

## 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 78469 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