Payer policies › CPT 6478364783 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 64783 Payer coverage policies that name 64783 64783 appears in 3 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 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: $1296.71 (outpatient_hospital), effective Oct 1, 2013 CO: $168.56 (chp_plus, non-facility), effective Jul 1, 2026 FL: $144.17 (physician, non-facility), effective Jan 1, 2026 IL: $149.02 (practitioner), effective Apr 1, 2024 IN: $161.82 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $300.00 (asc, facility), effective Aug 1, 1982 KY: $0.00 (asc), effective Jan 1, 2026 LA: $182.30 (asc), effective Jul 1, 2012 MA: $0.00 (asc), effective May 1, 2026 MS: $155.92 (comprehensive), effective Jul 1, 2026 ND: $191.13 (physician), effective Aug 1, 2026 NE: $413.00 (asc), effective Jul 1, 2024 NY: $106.57 (physician_surgery, facility), effective Jul 1, 2026 OH: $184.86 (physician), effective Jan 1, 2000 OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026 TX: $179.07 (physician, Physician, facility), effective Mar 1, 2025 VA: $160.59 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $106.63 (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.