Payer policies › CPT 7670576705 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 76705 Payer coverage policies that name 76705 76705 appears in 3 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Etranacogene Dezaparvovec-drlb (Hemgenix) (1023) listed, no stance Apr 17, 2026 payer document Aetna Fidanacogene Elaparvovec-dzkt (Beqvez) (1060) listed, no stance Apr 20, 2026 payer document Aetna Valoctocogene Roxaparvovec-rvox (Roctavian) (1037) listed, no stance Apr 20, 2026 payer document
Medicaid fee-for-service AZ: $31.31 (asc), effective Oct 1, 2026 CO: $72.81 (chp_plus, non-facility), effective Jul 1, 2026 FL: $21.05 (radiology), effective Jan 1, 2026 IL: $61.01 (practitioner), effective Jun 1, 2023 IN: $44.75 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $17.29 (default, Exempt Physician), effective Jan 1, 2024 KY: $55.68 (asc), effective Jan 1, 2026 LA: $26.86 (lab_radiology), effective Jul 1, 2025 MA: $20.87 (physician_radiology), effective May 1, 2024 MS: $45.37 (comprehensive, facility), effective Oct 1, 2025 ND: $96.13 (physician), effective Aug 1, 2026 NE: $38.91 (physician, non-facility), effective Jul 1, 2026 NY: $40.40 (ordered_ambulatory), effective Jul 24, 2026 OH: $64.06 (physician), effective Jan 1, 2024 OK: $24.73 (physician, non-facility), effective Jul 1, 2026 TX: $23.02 (healthy_texas_women, Clinic/Group Practice, facility), effective Mar 1, 2025 VA: $50.92 (medical), effective Jul 1, 2026 VT: $81.18 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $53.32 (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.