Payer policies › CPT 6065060650 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 60650 Medicaid fee-for-service AZ: $1221.74 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $933.51 (chp_plus, non-facility), effective Jul 1, 2026 FL: $858.54 (physician, non-facility), effective Jan 1, 2026 IL: $839.35 (practitioner), effective Jul 1, 2026 IN: $902.33 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $435.00 (asc, facility), effective Jan 1, 2000 KY: $739.73 (physician, facility), effective Jan 1, 2026 LA: $194.40 (professional), effective Jul 1, 2025 MA: $870.94 (physician_surgery), effective May 1, 2024 MS: $922.99 (comprehensive), effective Jul 1, 2026 ND: $1138.49 (physician), effective Aug 1, 2026 NE: $375.81 (physician, non-facility), effective Jul 1, 2026 NY: $564.22 (physician_surgery, facility), effective Jul 1, 2026 OH: $797.08 (physician), effective Jan 1, 2024 OK: $973.93 (physician, non-facility), effective Jul 1, 2026 TX: $147.41 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2025 VA: $956.31 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $637.70 (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.