Payer policies › CPT 7003070030 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 70030 Medicaid fee-for-service AZ: $58.65 (outpatient_hospital), effective Oct 1, 2021 CO: $20.41 (chp_plus, non-facility), effective Jul 1, 2026 FL: $14.59 (radiology), effective Jan 1, 2026 IL: $20.92 (practitioner), effective Apr 1, 2024 IN: $6.86 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $7.70 (default, Exempt Physician), effective Jun 1, 2006 KY: $0.00 (asc), effective Jan 1, 2026 LA: $10.04 (lab_radiology), effective Jul 1, 2025 MA: $19.22 (physician_radiology), effective May 1, 2024 MS: $26.05 (comprehensive), effective Jul 1, 2026 ND: $36.42 (physician), effective Aug 1, 2026 NE: $33.45 (physician, non-facility), effective Jul 1, 2026 NY: $40.40 (ordered_ambulatory), effective Jul 24, 2026 OH: $18.83 (physician), effective Jan 1, 2024 OK: $27.90 (physician, non-facility), effective Jul 1, 2026 TX: $109.09 (hospital_outpatient_imaging_services, Rural Hospitals), effective Mar 1, 2025 VA: $20.84 (medical), effective Jul 1, 2026 VT: $67.57 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $15.10 (physician, facility), effective Jul 1, 2026 WY: $38.49 (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.