Payer policies › CPT 6476064760 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 64760 Payer coverage policies that name 64760 64760 appears in 4 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Intravenous Iron Therapy (0575) listed, no stance (range 61000-64999) Jul 1, 2026 payer document Aetna Parkinson's Disease (0307) not covered Feb 24, 2026 payer document Aetna Respiratory Devices: Incentive Spirometers, Vaporizers and Intermittent Positive Pressure Breathing Machines (0479) listed, no stance (range 61000-64999) Jul 9, 2026 payer document Aetna Thermal Perfusion Probe for Monitoring Regional Cerebral Blood Flow (0703) listed, no stance (range 61000-64999) Nov 24, 2025 payer document
Medicaid fee-for-service AZ: $538.35 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $429.60 (chp_plus, non-facility), effective Jul 1, 2026 FL: $397.19 (physician, non-facility), effective Jan 1, 2026 IL: $522.75 (practitioner), effective Apr 1, 2024 IN: $395.65 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $450.00 (asc, facility), effective Aug 1, 1982 KY: $406.72 (physician, facility), effective Jan 1, 2026 LA: $424.24 (professional), effective Jul 1, 2025 MA: $388.94 (physician_surgery), effective May 1, 2024 MS: $419.40 (comprehensive), effective Jul 1, 2026 ND: $529.82 (physician), effective Aug 1, 2026 NE: $1193.00 (physician, non-facility), effective Jul 1, 2026 OH: $387.59 (physician), effective Jan 1, 2024 OK: $444.59 (physician, non-facility), effective Jul 1, 2026 TX: $65.15 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2025 VA: $442.42 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $298.88 (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.