74470 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 74470

Medicaid fee-for-service

  • AZ: $350.10 (outpatient_hospital), effective Oct 1, 2021
  • CO: $17.08 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $17.18 (radiology), effective Jan 1, 2026
  • IL: $18.30 (practitioner), effective Jun 20, 2018
  • IN: $19.81 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $53.84 (default, Exempt Physician), effective Jan 1, 2024
  • KY: $0.00 (asc), effective Jan 1, 2026
  • LA: $20.04 (lab_radiology), effective Jul 1, 2012
  • MA: $397.67 (physician_radiology), effective May 1, 2024
  • MS: $432.46 (comprehensive), effective Jul 1, 2026
  • ND: $0.00 (physician), effective Aug 1, 2026
  • NE: $35.52 (physician, non-facility), effective Jul 1, 2026
  • NY: $61.36 (physician_radiology, facility), effective Apr 1, 2026
  • OH: $91.25 (physician), effective Jan 1, 2018
  • OK: $492.05 (outpatient_hospital_apc), effective Jan 1, 2026
  • TX: $662.29 (hospital_outpatient_imaging_services, Rural Hospitals), effective Mar 1, 2025
  • VA: $36.07 (medical), effective Jul 1, 2010
  • VT: $424.27 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $14.52 (physician, facility), effective Jul 1, 2026
  • WY: $241.65 (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.