Payer policies › CPT 4420644206 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 44206 Payer coverage policies that name 44206 44206 appears in 2 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Intravenous Iron Therapy (0575) listed, no stance (range 44005-44799) Jul 1, 2026 payer document Aetna Obsolete and Unreliable Tests and Procedures (0438) not covered (range 44206-44208) Jul 16, 2026 payer document
Medicaid fee-for-service AZ: $4938.56 (outpatient_hospital), effective Oct 1, 2013 CO: $1363.38 (chp_plus, non-facility), effective Jul 1, 2026 FL: $1244.82 (physician, non-facility), effective Jan 1, 2026 IL: $1215.00 (practitioner), effective Apr 1, 2024 IN: $1304.94 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $1042.88 (default, Exempt Physician), effective Aug 1, 2024 KY: $1117.91 (physician, facility), effective Jan 1, 2026 LA: $1412.25 (professional), effective Jul 1, 2025 MA: $1272.56 (physician_surgery), effective May 1, 2024 MS: $1337.38 (comprehensive), effective Jul 1, 2026 ND: $1652.92 (physician), effective Aug 1, 2026 NE: $1407.90 (physician, non-facility), effective Jul 1, 2026 NY: $799.44 (physician_surgery, facility), effective Jul 1, 2026 OH: $1067.85 (physician), effective Jan 1, 2024 OK: $1411.68 (physician, non-facility), effective Jul 1, 2026 TX: $188.55 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $1386.57 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $925.69 (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.