Payer policies › CPT 4670546705 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 46705 Medicaid fee-for-service AZ: $593.09 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $458.64 (chp_plus, non-facility), effective Jul 1, 2026 FL: $524.29 (pediatric_surgery, pediatric surgeon), effective Jan 1, 2025 IL: $396.84 (practitioner), effective Apr 1, 2024 IN: $436.48 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $225.00 (asc, facility), effective Aug 1, 1982 KY: $302.48 (physician, facility), effective Jan 1, 2026 LA: $461.44 (professional), effective Jul 1, 2025 MA: $431.36 (physician_surgery), effective May 1, 2024 MS: $469.90 (comprehensive), effective Jul 1, 2026 ND: $604.92 (physician), effective Aug 1, 2026 NE: $147.96 (physician, non-facility), effective Jul 1, 2026 NY: $223.17 (physician_surgery, facility), effective Jul 1, 2026 OH: $317.91 (physician), effective Jan 1, 2024 OK: $499.25 (physician, non-facility), effective Jul 1, 2026 TX: $71.31 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $499.42 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $341.11 (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.