60100 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 60100

Payer coverage policies that name 60100

60100 appears in 1 coverage policy from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaUltrasound Guidance – Selected Indications (0952)covered if criteria are metApr 27, 2026payer document

Medicaid fee-for-service

  • AZ: $28.65 (asc), effective Oct 1, 2026
  • CO: $75.69 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $51.93 (physician, facility), effective Jan 1, 2026
  • IL: $52.22 (practitioner), effective Apr 1, 2024
  • IN: $58.72 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $225.00 (asc, facility), effective Aug 1, 1982
  • KY: $51.12 (asc), effective Jan 1, 2026
  • LA: $88.53 (professional), effective Feb 1, 2013
  • MA: $45.70 (asc), effective May 1, 2026
  • MS: $40.62 (comprehensive, facility), effective Oct 1, 2025
  • ND: $50.56 (physician, facility), effective Aug 1, 2026
  • NE: $81.68 (physician, facility), effective Jul 1, 2026
  • NY: $39.38 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $45.12 (physician, facility), effective Jan 1, 2024
  • OK: $46.64 (asc), effective Jan 1, 2026
  • TX: $42.63 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $56.71 (medical, facility), effective Jul 1, 2026
  • VT: $549.84 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $38.03 (physician, facility), effective Jul 1, 2026
  • WY: $313.16 (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.