Payer policies › CPT 7819178191 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 78191 Medicaid fee-for-service AZ: $150.78 (asc), effective Oct 1, 2026 CO: $19.63 (chp_plus, non-facility), effective Jul 1, 2026 FL: $18.44 (radiology), effective Jan 1, 2026 IL: $79.74 (practitioner), effective Apr 1, 2024 IN: $19.44 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KY: $215.08 (asc), effective Jan 1, 2026 MA: $96.96 (physician_radiology), effective May 1, 2024 MS: $173.41 (comprehensive, facility), effective Oct 1, 2025 ND: $114.53 (physician), effective Aug 1, 2026 NE: $310.28 (physician, non-facility), effective Jul 1, 2026 NY: $48.48 (ordered_ambulatory), effective Jul 24, 2026 OH: $133.09 (physician), effective Jan 1, 2018 OK: $86.08 (physician, non-facility), effective Jul 1, 2026 TX: $506.31 (hospital_outpatient_imaging_services, Rural Hospitals), effective Mar 1, 2026 VA: $20.54 (medical), effective Jul 1, 2026 VT: $310.41 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $78.92 (physician, facility), effective Jul 1, 2026 WY: $176.79 (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.