Payer policies › CPT 4946549465 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 49465 Medicaid fee-for-service AZ: $72.45 (asc), effective Oct 1, 2026 CO: $23.96 (chp_plus, non-facility), effective Jul 1, 2026 FL: $20.45 (physician, facility), effective Jan 1, 2026 IL: $20.50 (practitioner), effective Apr 1, 2024 IN: $23.29 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $94.75 (default, Exempt Physician), effective Dec 18, 2009 KY: $128.34 (asc), effective Jan 1, 2026 LA: $125.56 (professional), effective Feb 1, 2013 MA: $100.09 (asc), effective May 1, 2026 MS: $104.22 (comprehensive, facility), effective Oct 1, 2025 ND: $75.66 (physician, facility), effective Aug 1, 2026 NE: $7.36 (physician, facility), effective Jul 1, 2026 NY: $49.49 (physician_surgery, facility), effective Jul 1, 2026 OH: $28.55 (physician, facility), effective Jan 1, 2024 OK: $117.09 (asc), effective Jan 1, 2026 VA: $22.28 (medical, facility), effective Jul 1, 2026 VT: $185.27 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $308.28 (asc), effective Jul 1, 2026 WY: $105.52 (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.