50705 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 50705

1 of 1 payer prior-auth lists that name 50705 require prior authorization or set conditions: Humana.

PayerPlanStatePrior authConditionsSinceSource
HumanaHumana Puerto Rico MA and Dual Medicare-MedicaidPRprior auth requiredNov 3, 2025Puerto Rico Medicare Advantage and Dual Medicare-Medicaid Plans Preauthorization and Notification List Puerto Rico Medicare Advantage and Dual Medicare-Medicaid Plan Preauthorization and Notification

Payer coverage policies that name 50705

50705 appears in 1 coverage policy from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaBupivacaine Liposome (Exparel) (0941)listed, no stance (range 50010-53899)Jul 30, 2026payer document

Medicaid fee-for-service

  • AZ: $1616.44 (outpatient_hospital, RF133), effective Oct 1, 2025
  • CO: $165.74 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $124.17 (physician, facility), effective Jan 1, 2026
  • IL: $125.39 (practitioner), effective Jan 1, 2016
  • IN: $135.72 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $779.96 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $0.00 (asc), effective Jan 1, 2026
  • LA: $1404.60 (professional), effective Jan 1, 2016
  • MA: $0.00 (asc), effective May 1, 2026
  • MS: $138.34 (comprehensive), effective Jul 1, 2026
  • ND: $1979.22 (physician), effective Aug 1, 2026
  • NE: $177.84 (physician, non-facility), effective Jul 1, 2026
  • NY: $112.49 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $164.14 (physician, facility), effective Jan 1, 2024
  • OK: $144.86 (physician, facility), effective Jul 1, 2026
  • TX: $127.77 (physician, Physician, facility), effective Sep 1, 2026
  • VA: $138.31 (medical, facility), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $91.73 (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.