Payer policies › CPT 3872038720 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 38720 Medicaid fee-for-service AZ: $1908.85 (asc), effective Oct 1, 2026 CO: $1067.22 (chp_plus, non-facility), effective Jul 1, 2026 FL: $932.26 (physician, non-facility), effective Jan 1, 2026 IL: $929.75 (practitioner), effective Apr 1, 2024 IN: $1030.11 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $400.00 (asc, facility), effective Aug 1, 1982 KY: $2780.27 (asc), effective Jan 1, 2026 LA: $1091.86 (professional), effective Jul 1, 2025 MA: $998.24 (physician_surgery), effective May 1, 2024 MS: $1001.52 (comprehensive), effective Jul 1, 2026 ND: $1258.65 (physician), effective Aug 1, 2026 NE: $1711.70 (physician, non-facility), effective Jul 1, 2026 NY: $598.17 (physician_surgery, facility), effective Jul 1, 2026 OH: $835.50 (physician), effective Jan 1, 2024 OK: $5979.50 (outpatient_hospital_apc), effective Jan 1, 2026 TX: $147.83 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $1035.30 (medical), effective Jul 1, 2026 VT: $5155.83 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $698.47 (physician, facility), effective Jul 1, 2026 WY: $2936.53 (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.