Payer policies › CPT 4421144211 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 44211 Payer coverage policies that name 44211 44211 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 44210-44212) Jul 16, 2026 payer document
Medicaid fee-for-service AZ: $2149.20 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $1665.80 (chp_plus, non-facility), effective Jul 1, 2026 FL: $2265.25 (pediatric_surgery, pediatric surgeon), effective Jan 1, 2025 IL: $1439.65 (practitioner), effective Apr 1, 2024 IN: $1613.70 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $842.50 (default, Exempt Physician), effective Aug 1, 2024 KY: $1453.85 (physician, facility), effective Jan 1, 2026 LA: $1702.19 (professional), effective Jul 1, 2025 MA: $1555.13 (physician_surgery), effective May 1, 2024 MS: $1625.43 (comprehensive), effective Jul 1, 2026 ND: $2050.94 (physician), effective Aug 1, 2026 NE: $628.82 (physician, non-facility), effective Jul 1, 2026 NY: $1005.02 (physician_surgery, facility), effective Jul 1, 2026 OH: $1389.02 (physician), effective Jan 1, 2024 OK: $1713.54 (physician, non-facility), effective Jul 1, 2026 TX: $238.39 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $1669.56 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $1129.78 (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.