Payer policies › CPT 8410684106 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 84106 Payer coverage policies that name 84106 84106 appears in 2 coverage policies from Blue Cross NC, Cigna.
Payer Policy Role in policy Reviewed Document Blue Cross NC Professional Pathology Billing Requirements AHS – R2169 listed, no stance (range 84030-84999) Mar 1, 2024 payer document Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $5.82 (lab), effective Oct 1, 2026 CO: $5.82 (lab_cdl), effective Oct 1, 2025 FL: $3.14 (lab_independent, non-facility), effective Jan 1, 2026 IL: $4.20 (practitioner), effective Feb 1, 2013 IN: $4.95 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2015 KS: $4.44 (default, Exempt Physician), effective Jan 1, 1996 KY: $5.82 (lab), effective Jan 1, 2026 LA: $4.95 (lab_radiology), effective Jul 1, 2025 MS: $5.24 (comprehensive), effective Jul 1, 2026 ND: $5.82 (physician), effective Aug 1, 2026 NE: $5.82 (lab), effective Jul 1, 2026 NY: $4.92 (lab), effective Aug 1, 2026 OH: $4.37 (lab), effective Apr 1, 2019 OK: $5.18 (physician, non-facility), effective Jul 1, 2026 VA: $1.76 (medical), effective Jul 1, 2014 VT: $5.67 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $4.66 (kidneycenters), effective Jul 1, 2026 WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), 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.