Payer policies › CPT 7428374283 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 74283 Medicaid fee-for-service AZ: $69.76 (asc), effective Oct 1, 2026 CO: $37.55 (chp_plus, non-facility), effective Jul 1, 2026 FL: $89.30 (radiology), effective Jan 1, 2026 IL: $164.96 (practitioner), effective Apr 1, 2024 IN: $79.18 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $92.79 (default, Exempt Physician), effective Jan 1, 2024 KY: $94.95 (asc), effective Jan 1, 2026 LA: $79.02 (lab_radiology), effective Jul 1, 2025 MA: $126.89 (physician_radiology), effective May 1, 2024 MS: $77.37 (comprehensive, facility), effective Oct 1, 2025 ND: $312.03 (physician), effective Aug 1, 2026 NE: $132.75 (physician, non-facility), effective Jul 1, 2026 NY: $25.25 (ordered_ambulatory), effective Jul 24, 2026 OH: $154.17 (physician), effective Jan 1, 2024 OK: $92.17 (physician, non-facility), effective Jul 1, 2026 TX: $220.58 (hospital_outpatient_imaging_services, Rural Hospitals), effective Mar 1, 2025 VA: $89.12 (medical), effective Jul 1, 2026 VT: $136.19 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $61.15 (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.