Payer policies › CPT 7570575705 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 75705 Payer coverage policies that name 75705 75705 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Spinal Surgery: Laminectomy and Fusion (0743) listed, no stance Jul 30, 2026 payer document
Medicaid fee-for-service AZ: $3458.52 (outpatient_hospital), effective Oct 1, 2021 CO: $92.28 (chp_plus, non-facility), effective Jul 1, 2026 FL: $71.07 (radiology), effective Jan 1, 2026 IL: $166.44 (practitioner), effective Apr 1, 2024 IN: $105.86 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $78.02 (default, Exempt Physician), effective Jan 1, 2024 KY: $0.00 (asc), effective Jan 1, 2026 LA: $313.62 (lab_radiology), effective Jul 1, 2012 MA: $191.07 (physician_radiology), effective May 1, 2024 MS: $102.42 (comprehensive), effective Jul 1, 2026 ND: $127.67 (physician), effective Aug 1, 2026 NE: $472.53 (physician, non-facility), effective Jul 1, 2026 NY: $131.30 (ordered_ambulatory), effective Jul 24, 2026 OH: $203.28 (physician), effective Jan 1, 2018 OK: $5010.85 (outpatient_hospital_apc), effective Jan 1, 2026 TX: $6597.26 (hospital_outpatient_imaging_services, Rural Hospitals), effective Mar 1, 2025 VA: $252.03 (medical), effective Jul 1, 2026 VT: $4320.61 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $71.47 (physician, facility), effective Jul 1, 2026 WY: $2460.82 (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.