Payer policies › CPT 4470144701 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 44701 Payer coverage policies that name 44701 44701 appears in 1 coverage policy 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
Medicaid fee-for-service AZ: $171.55 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $124.58 (chp_plus, non-facility), effective Jul 1, 2026 FL: $118.46 (physician, non-facility), effective Jan 1, 2026 IL: $119.89 (practitioner), effective Apr 1, 2024 IN: $125.56 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KY: $0.00 (asc), effective Jan 1, 2026 LA: $138.08 (professional), effective Jul 1, 2025 MA: $0.00 (asc), effective May 1, 2026 ND: $153.20 (physician), effective Aug 1, 2026 NE: $35.50 (physician, non-facility), effective Jul 1, 2026 NY: $79.09 (physician_surgery, facility), effective Jul 1, 2026 OH: $116.32 (physician), effective Jan 1, 2024 OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026 TX: $121.89 (physician, Physician, facility), effective Sep 1, 2026 VA: $131.94 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $86.57 (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.