50770 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 50770

1 of 1 payer prior-auth lists that name 50770 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 50770

50770 appears in 2 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaBupivacaine Liposome (Exparel) (0941)listed, no stance (range 50010-53899)Jul 30, 2026payer document
AetnaUrological Supplies (0533)listed, no stanceJul 30, 2026payer document

Medicaid fee-for-service

  • AZ: $1180.25 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $935.31 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $1131.95 (pediatric_surgery, pediatric surgeon), effective Jan 1, 2025
  • IL: $958.60 (practitioner), effective Jul 1, 2026
  • IN: $889.07 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $708.62 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $977.97 (physician, facility), effective Jan 1, 2026
  • LA: $959.69 (professional), effective Feb 1, 2013
  • MA: $841.61 (physician_surgery), effective May 1, 2024
  • MS: $875.21 (comprehensive), effective Jul 1, 2026
  • ND: $1099.44 (physician), effective Aug 1, 2026
  • NE: $1815.44 (physician, non-facility), effective Jul 1, 2026
  • NY: $584.55 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $897.60 (physician), effective Jan 1, 2000
  • OK: $921.17 (physician, non-facility), effective Jul 1, 2026
  • TX: $127.46 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026
  • VA: $892.65 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $602.73 (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.