CPT 78432: Conducting a nuclear medicine study to evaluate heart muscle and blood flow with two injections - Prior Authorization and Price
CPT code 78432 is Conducting a nuclear medicine study to evaluate heart muscle and blood flow with two injections. See what Aetna, Cigna, UnitedHealthcare look for before approving it, the conditions their guidelines cover, and what it typically costs.
Conducting a nuclear medicine study to evaluate heart muscle and blood flow with two injections.
Build a submission checklist for this studyPayer guidelines that apply
| Payer | Reviewed using | Guideline | Sections |
|---|---|---|---|
| Aetna | eviCore |
Cardiac Imaging Guidelines
2.0.2026, effective Sep 1, 2026
Pediatric Cardiac Imaging Guidelines
effective Feb 3, 2026
|
4 that name this code |
| Anthem BCBS | Carelon | Current guideline | None found |
| Cigna | eviCore |
Cardiac Imaging Guidelines
2.0.2026, effective Sep 1, 2026
Pediatric Cardiac Imaging Guidelines
1.0.2026, effective Feb 3, 2026
|
4 that name this code |
| Medicare | CMS | — | None found |
| Original Medicare does not run a prior authorization program for outpatient imaging; claims are judged against the coverage policies above. Medicare Advantage plans set their own prior authorization rules. | |||
| UnitedHealthcare | UnitedHealthcare / eviCore |
Commercial and Exchange Cardiovascular and Radiology Imaging Guidelines
09.2026, effective Sep 1, 2026
|
4 that name this code |
Guidelines collected from the payers' published documents on September 29, 2026. Payers revise these documents during the year. Open the guideline link to confirm the current version before you submit.
Typical price
Commercial figures come from negotiated rates published by 456 hospitals; Medicare figures from CMS fee schedules. Rates vary widely by hospital and plan. Pricing data from CenterIQ.
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