Payer policies › CPT 7350373503 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 73503 Payer coverage policies that name 73503 73503 appears in 2 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Complex Regional Pain Syndrome (CRPS): Diagnosis (0147) not covered (range 73501-73660) Mar 30, 2026 payer document Aetna Hyperbaric Oxygen Therapy (HBOT) (0172) listed, no stance Apr 21, 2026 payer document
Medicaid fee-for-service AZ: $79.00 (outpatient_hospital), effective Oct 1, 2021 CO: $50.18 (chp_plus, non-facility), effective Jul 1, 2026 FL: $7.91 (radiology), effective Jan 1, 2026 IL: $38.39 (practitioner), effective Apr 1, 2024 IN: $10.48 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $8.10 (default, Exempt Physician), effective Jan 1, 2024 KY: $0.00 (asc), effective Jan 1, 2026 LA: $18.33 (lab_radiology), effective Jul 1, 2025 MA: $37.16 (physician_radiology), effective May 1, 2024 MS: $38.27 (comprehensive), effective Jul 1, 2026 ND: $14.64 (physician), effective Aug 1, 2026 NE: $68.37 (physician, non-facility), effective Jul 1, 2026 NY: $15.75 (ordered_ambulatory), effective Jul 24, 2026 OH: $38.75 (physician), effective Jan 1, 2024 OK: $53.26 (physician, non-facility), effective Jul 1, 2026 TX: $131.99 (hospital_outpatient_imaging_services, Rural Hospitals), effective Mar 1, 2025 VA: $54.40 (medical, facility), effective Jul 1, 2026 VT: $81.18 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $31.15 (physician, facility), effective Jul 1, 2026 WY: $46.23 (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.