Payer policies › CPT 7444574445 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 74445 Payer coverage policies that name 74445 74445 appears in 2 coverage policies from Aetna, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).
Payer Policy Role in policy Reviewed Document Aetna Erectile Dysfunction and Peyronie's Disease (0007) covered if criteria are met Jul 29, 2026 payer document Health Care Service Corporation (BCBS IL, TX, OK, NM, MT) Sexual Dysfunctions, Assessment and Treatment (MED201.030)CPT Codes 37788, 37790, 54110, 54111, 54112, 54200, 54205, 54230, 54231, listed, no stance Jan 1, 2026 payer document
Medicaid fee-for-service AZ: $79.00 (outpatient_hospital), effective Oct 1, 2021 CO: $12.80 (chp_plus, non-facility), effective Jul 1, 2026 FL: $34.78 (radiology), effective Jan 1, 2026 IL: $28.70 (practitioner), effective Jul 1, 2026 IN: $42.27 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $73.80 (default, Exempt Physician), effective Jan 1, 2024 KY: $0.00 (asc), effective Jan 1, 2026 LA: $27.65 (lab_radiology), effective Jul 1, 2012 MA: $39.16 (physician_radiology), effective May 1, 2024 MS: $82.79 (comprehensive), effective Jul 1, 2026 ND: $59.70 (physician), effective Aug 1, 2026 NE: $76.93 (physician, non-facility), effective Jul 1, 2026 NY: $50.50 (ordered_ambulatory), effective Jul 24, 2026 OH: $144.43 (physician), effective Jan 1, 2018 OK: $94.14 (outpatient_hospital_apc), effective Jan 1, 2026 TX: $131.99 (hospital_outpatient_imaging_services, Rural Hospitals), effective Mar 1, 2025 VA: $48.49 (medical), effective Oct 1, 2010 VT: $81.18 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $56.77 (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.