Payer policies › CPT 7227072270 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 72270 Payer coverage policies that name 72270 72270 appears in 2 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Back Pain - Invasive Procedures (0016) listed, no stance (range 72240-72270) Oct 6, 2026 payer document Aetna Intervertebral Disc Prostheses (0591) listed, no stance (range 72240-72270) Sep 18, 2026 payer document
Medicaid fee-for-service AZ: $518.51 (outpatient_hospital), effective Oct 1, 2021 CO: $110.92 (chp_plus, non-facility), effective Jul 1, 2026 FL: $44.26 (radiology), effective Jan 1, 2026 IL: $99.39 (practitioner), effective Apr 1, 2024 IN: $116.63 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $40.46 (default, Exempt Physician), effective Jan 1, 2024 KY: $0.00 (asc), effective Jan 1, 2026 LA: $165.33 (lab_radiology), effective Jul 1, 2012 MA: $128.71 (physician_radiology), effective May 1, 2024 MS: $51.77 (comprehensive), effective Jul 1, 2026 ND: $82.23 (physician), effective Aug 1, 2026 NE: $86.96 (physician, non-facility), effective Jul 1, 2026 NY: $209.04 (physician_radiology, facility), effective Apr 1, 2026 OH: $114.94 (physician), effective Jan 1, 2024 OK: $705.92 (outpatient_hospital_apc), effective Jan 1, 2026 TX: $961.23 (hospital_outpatient_imaging_services, Rural Hospitals), effective Mar 1, 2025 VA: $115.74 (medical), effective Jul 1, 2026 VT: $608.68 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $81.98 (physician, facility), effective Jul 1, 2026 WY: $346.68 (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.