Payer policies › CPT 2707727077 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 27077 Payer coverage policies that name 27077 27077 appears in 4 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Intraoperative Neurophysiological Monitoring (0697) not covered (range 26990-27299) Jun 19, 2026 payer document Aetna Nerve Blocks (0863) listed, no stance (range 26990-27299) Jul 23, 2026 payer document Aetna Remote Ischemic Conditioning (0814) listed, no stance (range 20000-29999) Nov 20, 2025 payer document Aetna Skin and Soft Tissue Substitutes (0244) not covered (range 20100-29999) Jul 29, 2026 payer document
Medicaid fee-for-service AZ: $3026.13 (asc), effective Oct 1, 2026 CO: $1683.59 (chp_plus, non-facility), effective Jul 1, 2026 FL: $1931.14 (physician, non-facility), effective Jan 1, 2026 IL: $1946.59 (practitioner), effective Apr 1, 2024 IN: $2128.39 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $1034.17 (default, Exempt Physician), effective Aug 1, 2024 KY: $1212.53 (physician, facility), effective Jan 1, 2026 LA: $454.28 (professional), effective Jul 1, 2025 MA: $2072.03 (physician_surgery), effective May 1, 2024 MS: $2073.77 (comprehensive), effective Jul 1, 2026 ND: $2126.56 (physician, facility), effective Aug 1, 2026 NE: $3334.50 (physician, non-facility), effective Jul 1, 2026 NY: $1288.11 (physician_surgery, facility), effective Jul 1, 2026 OH: $1471.66 (physician), effective Jul 1, 2008 OK: $2189.47 (physician, non-facility), effective Jul 1, 2026 TX: $332.56 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2026 VA: $2151.04 (medical), effective Jul 1, 2026 VT: $5634.17 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $1442.42 (physician, facility), effective Jul 1, 2026 WY: $3208.96 (outpatient_hospital_apc, Ambulatory Surgical Centers), 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.