60281 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 60281

Payer coverage policies that name 60281

60281 appears in 1 coverage policy from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaIntraoperative Neurophysiological Monitoring (0697)covered if criteria are met (range 60210-60281)Jun 19, 2026payer document

Medicaid fee-for-service

  • AZ: $1984.28 (asc), effective Oct 1, 2026
  • CO: $481.38 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $600.85 (pediatric_surgery, pediatric surgeon), effective Jan 1, 2025
  • IL: $583.50 (practitioner), effective Apr 1, 2024
  • IN: $461.86 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $400.00 (asc, facility), effective Aug 1, 1982
  • KY: $2958.68 (asc), effective Jan 1, 2026
  • LA: $217.00 (asc), effective Jul 1, 2012
  • MA: $1864.96 (asc), effective May 1, 2026
  • MS: $2288.26 (comprehensive, facility), effective Oct 1, 2025
  • ND: $1744.14 (physician, facility), effective Aug 1, 2026
  • NE: $1233.00 (asc), effective Jul 1, 2024
  • NY: $278.98 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $395.69 (physician), effective Jan 1, 2024
  • OK: $2699.27 (asc), effective Jan 1, 2026
  • TX: $1888.85 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $455.15 (medical), effective Jul 1, 2026
  • VT: $4694.12 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $366.60 (asc), effective Jul 1, 2026
  • WY: $2673.55 (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.