Payer policies › CPT 4513645136 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 45136 Payer coverage policies that name 45136 45136 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Urological Supplies (0533) listed, no stance (range 45000-45999) Jul 30, 2026 payer document
Medicaid fee-for-service AZ: $1815.87 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $1409.90 (chp_plus, non-facility), effective Jul 1, 2026 FL: $1271.58 (physician, non-facility), effective Jan 1, 2026 IL: $1215.53 (practitioner), effective Apr 1, 2024 IN: $1363.33 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $250.00 (asc, facility), effective Jan 1, 2002 KY: $1167.19 (physician, facility), effective Jan 1, 2026 LA: $1437.39 (professional), effective Jul 1, 2025 MA: $1316.76 (physician_surgery), effective May 1, 2024 MS: $1376.66 (comprehensive), effective Jul 1, 2026 ND: $1741.53 (physician), effective Aug 1, 2026 NE: $406.88 (physician, non-facility), effective Jul 1, 2026 NY: $832.88 (physician_surgery, facility), effective Jul 1, 2026 OH: $1169.35 (physician), effective Jan 1, 2024 OK: $1451.92 (physician, non-facility), effective Jul 1, 2026 TX: $192.60 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $1416.38 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $959.90 (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.