Payer policies › CPT 8727187271 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 87271 Payer coverage policies that name 87271 87271 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 87003-87999) Mar 1, 2024 payer document Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $13.42 (lab), effective Oct 1, 2026 CO: $13.42 (lab_cdl), effective Oct 1, 2025 FL: $7.25 (lab_independent, non-facility), effective Jan 1, 2026 IL: $9.39 (practitioner), effective Apr 1, 2024 IN: $11.41 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2019 KS: $11.81 (default, Exempt Physician), effective Jan 1, 2003 KY: $13.42 (lab), effective Jan 1, 2026 LA: $13.26 (lab_radiology), effective Jul 1, 2012 MS: $12.08 (comprehensive), effective Jul 1, 2026 ND: $13.42 (physician), effective Aug 1, 2026 NE: $13.42 (lab), effective Jul 1, 2026 NY: $13.42 (lab), effective Aug 1, 2026 OH: $10.07 (lab), effective Apr 1, 2019 OK: $11.94 (physician, non-facility), effective Jul 1, 2026 VA: $13.42 (medical), effective Jan 1, 2019 VT: $13.08 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $10.74 (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.