Payer policies › CPT 3658436584 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 36584 Payer coverage policies that name 36584 36584 appears in 7 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Anesthetic and Antiemetic Infusion Pumps (0607) listed, no stance (range 33016-37799) Sep 9, 2026 payer document Aetna Bupivacaine Liposome (Exparel) (0941) listed, no stance (range 33010-37799) Jul 30, 2026 payer document Aetna Cardiovascular Ultrafiltration (0741) listed, no stance (range 33010-37790) Oct 30, 2025 payer document Aetna Intestinal Transplantation (0605) listed, no stance (range 36555-36597) Sep 3, 2026 payer document Aetna Negative Pressure Wound Therapy (0334) listed, no stance (range 33016-37799) Jun 8, 2026 payer document Aetna Nitric Oxide, Inhalational (INO) (0518) not covered (range 33016-37790) Jul 2, 2026 payer document Aetna Stereolithographic Models and Implants (0613) listed, no stance (range 33010-37790) Sep 3, 2026 payer document
Medicaid fee-for-service AZ: $518.28 (asc), effective Oct 1, 2026 CO: $54.13 (chp_plus, non-facility), effective Jul 1, 2026 FL: $39.99 (physician, facility), effective Jan 1, 2026 IL: $39.46 (practitioner), effective Apr 1, 2024 IN: $45.12 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $407.51 (asc, facility), effective Jan 1, 2004 KY: $634.49 (asc), effective Jan 1, 2026 LA: $182.30 (asc), effective Jul 1, 2012 MA: $492.92 (asc), effective May 1, 2026 MS: $505.92 (comprehensive, facility), effective Oct 1, 2025 ND: $374.03 (physician, facility), effective Aug 1, 2026 NE: $413.00 (asc), effective Jul 1, 2024 NY: $80.80 (physician_surgery, facility), effective Jul 1, 2026 OH: $45.96 (physician, facility), effective Jan 1, 2024 OK: $578.86 (asc), effective Jan 1, 2026 TX: $446.27 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023 VA: $43.98 (medical, facility), effective Jul 1, 2026 VT: $1222.27 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $308.28 (asc), effective Jul 1, 2026 WY: $696.15 (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.