46614 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 46614

Payer coverage policies that name 46614

46614 appears in 1 coverage policy from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaRisankizumab-rzaa (Skyrizi) (1009)listed, no stance (range 46600-46615)Jul 1, 2026payer document

Medicaid fee-for-service

  • AZ: $79.89 (asc), effective Oct 1, 2026
  • CO: $50.96 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $47.80 (physician, facility), effective Jan 1, 2026
  • IL: $62.00 (practitioner), effective Jul 1, 2026
  • IN: $49.66 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $225.00 (asc, facility), effective Aug 1, 1982
  • KY: $142.54 (asc), effective Jan 1, 2026
  • LA: $129.71 (professional), effective Jul 1, 2025
  • MA: $93.87 (asc), effective May 1, 2026
  • MS: $98.07 (comprehensive, facility), effective Oct 1, 2025
  • ND: $140.98 (physician, facility), effective Aug 1, 2026
  • NE: $112.23 (physician, facility), effective Jul 1, 2026
  • NY: $41.41 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $64.37 (physician, facility), effective Jan 1, 2024
  • OK: $54.08 (physician, facility), effective Jul 1, 2026
  • TX: $110.46 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $53.24 (medical, facility), effective Jul 1, 2026
  • VT: $929.15 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $36.31 (physician, facility), effective Jul 1, 2026
  • WY: $529.20 (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.