Payer policies › CPT 6955469554 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 69554 Payer coverage policies that name 69554 69554 appears in 2 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Bone-Anchored Hearing Aids (0403) listed, no stance (range 69550-69554) Jul 22, 2026 payer document Aetna Myringotomy and Tympanostomy Tube (0418) listed, no stance (range 69420-69799) Jun 30, 2026 payer document
Medicaid fee-for-service AZ: $2592.36 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $1496.53 (chp_plus, non-facility), effective Jul 1, 2026 FL: $1738.39 (physician, non-facility), effective Jan 1, 2026 IL: $1717.79 (practitioner), effective Apr 1, 2024 IN: $1940.87 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $1593.12 (default, Exempt Physician), effective Aug 1, 2024 KY: $1433.80 (physician, facility), effective Jan 1, 2026 LA: $2030.81 (professional), effective Jul 1, 2025 MA: $1922.39 (physician_surgery), effective May 1, 2024 MS: $1859.84 (comprehensive), effective Jul 1, 2026 ND: $2398.64 (physician), effective Aug 1, 2026 NE: $3052.92 (physician, non-facility), effective Jul 1, 2026 NY: $1231.61 (physician_surgery, facility), effective Jul 1, 2026 OH: $1576.91 (physician), effective Jan 1, 2024 OK: $1967.70 (physician, non-facility), effective Jul 1, 2026 TX: $298.96 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2026 VA: $1936.34 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $1326.43 (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.