Payer policies › CPT 5896058960 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 58960 Payer coverage policies that name 58960 58960 appears in 2 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Acupuncture and Dry Needling (0135) listed, no stance (range 56405-58999) Mar 25, 2026 payer document Aetna Urological Supplies (0533) listed, no stance (range 56405-58999) Jul 30, 2026 payer document
Medicaid fee-for-service AZ: $1027.53 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $523.78 (chp_plus, non-facility), effective Jul 1, 2026 FL: $733.85 (physician, non-facility), effective Jan 1, 2026 IL: $690.18 (practitioner), effective Apr 1, 2024 IN: $766.33 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $450.00 (asc, facility), effective Aug 1, 1982 KY: $717.37 (physician, facility), effective Jan 1, 2026 LA: $811.61 (professional), effective Jul 1, 2025 MA: $744.06 (physician_surgery), effective May 1, 2024 MS: $782.43 (comprehensive), effective Jul 1, 2026 ND: $981.16 (physician), effective Aug 1, 2026 NE: $395.05 (physician, non-facility), effective Jul 1, 2026 NY: $444.24 (physician_surgery, facility), effective Jul 1, 2026 OH: $786.03 (physician), effective Jan 1, 2024 OK: $827.52 (physician, non-facility), effective Jul 1, 2026 TX: $118.63 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2026 VA: $958.01 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $550.18 (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.