Payer policies › CPT 1100611006 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 11006 Payer coverage policies that name 11006 11006 appears in 3 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Negative Pressure Wound Therapy (0334) listed, no stance (range 11000-11047) Jun 8, 2026 payer document Aetna Skin and Soft Tissue Substitutes (0244) not covered (range 10040-19499) Jul 29, 2026 payer document Aetna Wound Care: Home or Outpatient Setting (1054) listed, no stance (range 11000-11047) Dec 23, 2025 payer document
Medicaid fee-for-service AZ: $710.24 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $557.09 (chp_plus, non-facility), effective Jul 1, 2026 FL: $485.25 (physician, non-facility), effective Jan 1, 2026 IL: $490.70 (practitioner), effective Apr 1, 2024 IN: $524.26 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $200.00 (asc, facility), effective Jan 1, 2005 KY: $531.05 (physician, facility), effective Jan 1, 2026 LA: $569.66 (professional), effective Jul 1, 2025 MA: $505.96 (physician_surgery), effective May 1, 2024 MS: $526.28 (comprehensive), effective Jul 1, 2026 ND: $638.34 (physician), effective Aug 1, 2026 NE: $829.92 (physician, non-facility), effective Jul 1, 2026 NY: $340.42 (physician_surgery, facility), effective Jul 1, 2026 OH: $549.43 (physician), effective Jan 1, 2024 OK: $554.18 (physician, non-facility), effective Jul 1, 2026 TX: $582.68 (physician, Physician, facility), effective Mar 1, 2025 VA: $540.51 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $356.97 (physician, facility), effective Jul 1, 2026 WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026 From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.