Payer policies › CPT 4943549435 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 49435 Medicaid fee-for-service AZ: $1233.70 (outpatient_hospital), effective Oct 1, 2014 CO: $85.28 (chp_plus, non-facility), effective Jul 1, 2026 FL: $82.35 (physician, non-facility), effective Jan 1, 2026 IL: $83.51 (practitioner), effective Apr 1, 2024 IN: $87.59 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $202.09 (asc, facility), effective Jan 1, 2007 KY: $0.00 (asc), effective Jan 1, 2026 LA: $19.23 (professional), effective Jul 1, 2025 MA: $0.00 (asc), effective May 1, 2026 MS: $89.11 (comprehensive), effective Jul 1, 2026 ND: $106.26 (physician), effective Aug 1, 2026 NE: $44.38 (physician, non-facility), effective Jul 1, 2026 NY: $56.75 (physician_surgery, facility), effective Jul 1, 2026 OH: $72.84 (physician), effective Jan 1, 2024 OK: $93.79 (physician, non-facility), effective Jul 1, 2026 TX: $13.10 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $91.72 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $60.01 (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.