Payer policies › CPT 5901559015 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 59015 Payer coverage policies that name 59015 59015 appears in 3 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Immune Globulins for Post-Exposure Prophylaxis (0544) listed, no stance Oct 7, 2026 payer document Aetna Invasive Prenatal Diagnosis of Genetic Diseases (0358) covered if criteria are met May 22, 2026 payer document Aetna Noninvasive Down Syndrome Screening (0282) listed, no stance Apr 17, 2026 payer document
Medicaid fee-for-service AZ: $36.36 (asc), effective Oct 1, 2026 CO: $128.65 (chp_plus, non-facility), effective Jul 1, 2026 FL: $91.44 (physician, facility), effective Jan 1, 2026 IL: $99.20 (practitioner), effective Jul 1, 2026 IN: $96.67 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KY: $64.87 (asc), effective Jan 1, 2026 LA: $123.04 (professional), effective Feb 1, 2013 MA: $52.45 (asc), effective May 1, 2026 MS: $49.42 (comprehensive, facility), effective Oct 1, 2025 ND: $64.17 (physician, facility), effective Aug 1, 2026 NE: $189.16 (physician, facility), effective Jul 1, 2026 NY: $66.73 (physician_surgery, facility), effective Jul 1, 2026 OH: $71.00 (physician, facility), effective Jan 1, 2024 OK: $103.03 (physician, facility), effective Jul 1, 2026 TX: $49.83 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023 VA: $119.37 (medical, facility), effective Jul 1, 2026 VT: $715.16 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $128.96 (physician, facility), effective Jul 1, 2026 WY: $407.32 (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.