Payer policies › CPT 8697786977 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 86977 Payer coverage policies that name 86977 86977 appears in 3 coverage policies from Aetna, Blue Cross NC, Cigna.
Payer Policy Role in policy Reviewed Document Aetna Parenteral Immunoglobulins (0206) listed, no stance (range 86975-86978) Oct 8, 2026 payer document Blue Cross NC Professional Pathology Billing Requirements AHS – R2169 listed, no stance (range 86000-86999) Mar 1, 2024 payer document Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $24.70 (lab), effective Oct 1, 2026 CO: $18.33 (chp_plus, non-facility), effective Jul 1, 2026 FL: $11.25 (lab_independent, non-facility), effective Jan 1, 2026 IL: $8.20 (practitioner), effective Mar 1, 2013 IN: $16.59 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026 KS: $97.10 (default, Exempt Physician), effective Jul 1, 2023 KY: $50.00 (lab), effective Jan 1, 2026 LA: $5.97 (lab_radiology), effective Jul 1, 2012 MS: $23.32 (comprehensive), effective Jul 1, 2026 ND: $0.00 (physician), effective Aug 1, 2026 NE: $91.97 (physician, non-facility), effective Jul 1, 2026 OH: $14.43 (lab), effective Jan 1, 2018 OK: $11.24 (physician, non-facility), effective Jul 1, 2026 VT: $132.29 (outpatient_hospital_opps), effective Feb 1, 2026 WY: $75.35 (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.