Payer policies › CPT 8544185441 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 85441 Payer coverage policies that name 85441 85441 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 85400-85475) Mar 1, 2024 payer document Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $4.20 (lab), effective Oct 1, 2026 CO: $3.57 (lab_cdl), effective Apr 1, 2026 FL: $2.30 (lab_independent, non-facility), effective Jan 1, 2026 IL: $4.08 (practitioner), effective Feb 1, 2013 IN: $3.57 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020 KS: $4.36 (default, Exempt Physician), effective Jan 1, 1996 KY: $4.20 (lab), effective Jan 1, 2026 LA: $4.19 (lab_radiology), effective Jul 1, 2012 MS: $3.78 (comprehensive), effective Jul 1, 2026 ND: $4.20 (physician), effective Aug 1, 2026 NE: $4.20 (lab), effective Jul 1, 2026 NY: $4.20 (lab), effective Aug 1, 2026 OH: $3.15 (lab), effective Jan 1, 2021 OK: $3.74 (physician, non-facility), effective Jul 1, 2026 VA: $1.80 (medical), effective Jul 1, 2014 VT: $4.10 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $3.36 (physician, facility), 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.