50830 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 50830

1 of 1 payer prior-auth lists that name 50830 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 50830

50830 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: $1838.89 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $972.74 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $1243.26 (physician, non-facility), effective Jan 1, 2026
  • IN: $1385.33 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $723.01 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $1476.01 (physician, facility), effective Jan 1, 2026
  • LA: $1529.93 (professional), effective Feb 1, 2013
  • MA: $1310.86 (physician_surgery), effective May 1, 2024
  • MS: $1360.81 (comprehensive), effective Jul 1, 2026
  • ND: $1702.86 (physician), effective Aug 1, 2026
  • NE: $3705.00 (physician, non-facility), effective Jul 1, 2026
  • NY: $909.45 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $1429.43 (physician), effective Jan 1, 2024
  • OK: $1431.44 (physician, non-facility), effective Jul 1, 2026
  • TX: $197.74 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026
  • VA: $1384.84 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $932.95 (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.