Payer policies › CPT 4495044950 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 44950 Medicaid fee-for-service AZ: $2423.12 (asc), effective Oct 1, 2026 CO: $506.09 (chp_plus, non-facility), effective Jul 1, 2026 FL: $645.76 (pediatric_surgery, pediatric surgeon), effective Jan 1, 2025 IL: $453.30 (practitioner), effective Apr 1, 2024 IN: $484.15 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $500.00 (asc, facility), effective Aug 1, 1982 KY: $3284.86 (asc), effective Jan 1, 2026 LA: $104.95 (professional), effective Jul 1, 2025 MA: $472.82 (physician_surgery), effective May 1, 2024 MS: $4916.30 (comprehensive), effective Jul 1, 2026 ND: $622.57 (physician), effective Aug 1, 2026 NE: $170.14 (physician, non-facility), effective Jul 1, 2026 NY: $291.96 (physician_surgery, facility), effective Jul 1, 2026 OH: $370.87 (physician), effective Jan 1, 2024 OK: $531.45 (physician, non-facility), effective Jul 1, 2026 TX: $71.34 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $524.60 (medical), effective Jul 1, 2026 VT: $5026.67 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $350.48 (physician, facility), effective Jul 1, 2026 WY: $2862.96 (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.