Payer policies › CPT 4694246942 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 46942 1 of 1 payer prior-auth lists that name 46942 require prior authorization or set conditions: Blue Cross and Blue Shield of Texas.
Medicaid fee-for-service AZ: $110.57 (asc), effective Oct 1, 2026 CO: $74.84 (chp_plus, non-facility), effective Jul 1, 2026 FL: $96.12 (physician, facility), effective Jan 1, 2026 IL: $89.34 (practitioner), effective Apr 1, 2024 IN: $100.70 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $112.13 (default, Exempt Physician), effective Aug 1, 2024 KY: $197.26 (asc), effective Jan 1, 2026 LA: $198.77 (professional), effective Jul 1, 2025 MA: $134.05 (asc), effective May 1, 2026 MS: $134.04 (comprehensive, facility), effective Oct 1, 2025 ND: $195.11 (physician, facility), effective Aug 1, 2026 NE: $98.09 (physician, facility), effective Jul 1, 2026 NY: $59.41 (physician_surgery, facility), effective Jul 1, 2026 OH: $94.45 (physician, facility), effective Jan 1, 2024 OK: $109.04 (physician, facility), effective Jul 1, 2026 TX: $98.90 (physician, Physician, facility), effective Sep 1, 2026 VA: $107.06 (medical, facility), effective Jul 1, 2026 VT: $722.08 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $73.19 (physician, facility), effective Jul 1, 2026 WY: $411.26 (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.