Payer policies › CPT 7424674246 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 74246 Payer coverage policies that name 74246 74246 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Obesity Surgery (0157) listed, no stance Jul 21, 2026 payer document
Medicaid fee-for-service AZ: $50.87 (asc), effective Oct 1, 2026 CO: $34.11 (chp_plus, non-facility), effective Jul 1, 2026 FL: $28.28 (radiology), effective Jan 1, 2026 IL: $89.63 (practitioner), effective Apr 1, 2024 IN: $105.01 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $58.30 (default, Exempt Physician), effective Jan 1, 2024 KY: $90.76 (asc), effective Jan 1, 2026 LA: $42.86 (lab_radiology), effective Jul 1, 2025 MA: $31.41 (physician_radiology), effective May 1, 2024 MS: $72.98 (comprehensive, facility), effective Oct 1, 2025 ND: $89.78 (physician, facility), effective Aug 1, 2026 NE: $136.15 (physician, non-facility), effective Jul 1, 2026 NY: $50.50 (ordered_ambulatory), effective Jul 24, 2026 OH: $74.81 (physician), effective Jan 1, 2024 OK: $115.27 (physician, non-facility), effective Jul 1, 2026 TX: $220.58 (hospital_outpatient_imaging_services, Rural Hospitals), effective Mar 1, 2025 VA: $80.44 (medical), effective Jul 1, 2026 VT: $136.19 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $58.67 (physician, facility), effective Jul 1, 2026 WY: $77.57 (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.