Payer policies › CPT 6885068850 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 68850 Medicaid fee-for-service AZ: $6.62 (outpatient_hospital, RF133), effective Oct 1, 2025 CO: $22.45 (chp_plus, non-facility), effective Jul 1, 2026 FL: $35.59 (physician, facility), effective Jan 1, 2026 IL: $49.07 (practitioner), effective Apr 1, 2024 IN: $40.03 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $39.93 (default, Exempt Physician), effective Aug 1, 2024 KY: $0.00 (asc), effective Jan 1, 2026 LA: $47.20 (professional), effective Feb 1, 2013 MA: $0.00 (asc), effective May 1, 2026 MS: $46.75 (comprehensive), effective Jul 1, 2026 ND: $61.96 (physician), effective Aug 1, 2026 NE: $47.45 (physician, facility), effective Jul 1, 2026 NY: $27.66 (physician_surgery, facility), effective Jul 1, 2026 OH: $41.74 (physician, facility), effective Dec 31, 2013 OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026 TX: $43.93 (physician, Physician, facility), effective Mar 1, 2023 VA: $39.64 (medical, facility), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $27.33 (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.