Payer policies › CPT 6050560505 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 60505 1 of 1 payer prior-auth lists that name 60505 require prior authorization or set conditions: HealthSpring.
Medicaid fee-for-service AZ: $1434.78 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $897.91 (chp_plus, non-facility), effective Jul 1, 2026 FL: $965.82 (physician, non-facility), effective Jan 1, 2026 IL: $975.59 (practitioner), effective Apr 1, 2024 IN: $1075.02 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $848.51 (default, Exempt Physician), effective Aug 1, 2024 KY: $999.46 (physician, facility), effective Jan 1, 2026 LA: $1140.11 (professional), effective Jul 1, 2025 MA: $1035.10 (physician_surgery), effective May 1, 2024 MS: $1011.89 (comprehensive), effective Jul 1, 2026 ND: $1276.30 (physician), effective Aug 1, 2026 NE: $2045.16 (physician, non-facility), effective Jul 1, 2026 NY: $653.94 (physician_surgery, facility), effective Jul 1, 2026 OH: $995.26 (physician), effective Jan 1, 2024 OK: $1066.78 (physician, non-facility), effective Jul 1, 2026 TX: $173.94 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2025 VA: $1039.64 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $703.25 (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.