Payer policies › CPT 4480044800 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 44800 Medicaid fee-for-service AZ: $796.71 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $613.64 (chp_plus, non-facility), effective Jul 1, 2026 FL: $771.64 (pediatric_surgery, pediatric surgeon), effective Jan 1, 2025 IL: $545.05 (practitioner), effective Apr 1, 2024 IN: $586.70 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $450.00 (asc, facility), effective Aug 1, 1982 KY: $463.75 (physician, facility), effective Jan 1, 2026 LA: $632.66 (professional), effective Jul 1, 2025 MA: $574.32 (physician_surgery), effective May 1, 2024 MS: $611.50 (comprehensive), effective Jul 1, 2026 ND: $766.75 (physician), effective Aug 1, 2026 NE: $1022.58 (physician, non-facility), effective Jul 1, 2026 NY: $345.46 (physician_surgery, facility), effective Jul 1, 2026 OH: $475.99 (physician), effective Jan 1, 2024 OK: $647.35 (physician, non-facility), effective Jul 1, 2026 TX: $91.51 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $640.91 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $431.12 (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.