Payer policies › CPT 6996069960 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 69960 Payer coverage policies that name 69960 69960 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Intraoperative Neurophysiological Monitoring (0697) covered if criteria are met (range 69950-69970) Jun 19, 2026 payer document
Medicaid fee-for-service AZ: $1943.46 (asc), effective Oct 1, 2026 CO: $1496.53 (chp_plus, non-facility), effective Jul 1, 2026 FL: $1297.64 (physician, non-facility), effective Jan 1, 2026 IL: $1287.99 (practitioner), effective Apr 1, 2024 IN: $1443.54 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $765.60 (default, Exempt Physician), effective Aug 1, 2024 KY: $2953.46 (asc), effective Jan 1, 2026 LA: $1521.46 (professional), effective Jul 1, 2025 MA: $1418.80 (physician_surgery), effective May 1, 2024 MS: $1369.90 (comprehensive), effective Jul 1, 2026 ND: $1742.28 (physician), effective Aug 1, 2026 NE: $2667.60 (physician, non-facility), effective Jul 1, 2026 NY: $936.41 (physician_surgery, facility), effective Jul 1, 2026 OH: $1220.48 (physician), effective Jan 1, 2024 OK: $1445.89 (physician, non-facility), effective Jul 1, 2026 TX: $222.20 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2026 VA: $1414.35 (medical), effective Jul 1, 2026 VT: $4596.52 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $961.42 (physician, facility), effective Jul 1, 2026 WY: $2617.97 (outpatient_hospital_apc, Ambulatory Surgical Centers), 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.