Payer policies › CPT 8873888738 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 88738 Payer coverage policies that name 88738 88738 appears in 1 coverage policy from Cigna.
Payer Policy Role in policy Reviewed Document Cigna Laboratory Testing Services (0604) not covered May 15, 2026 payer document
Medicaid fee-for-service AZ: $5.02 (lab), effective Oct 1, 2026 CO: $4.18 (lab_cdl), effective Jul 1, 2026 IL: $4.40 (practitioner), effective Jan 1, 2010 IN: $4.27 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020 KS: $3.76 (default, Exempt Physician), effective Jul 1, 2023 KY: $5.02 (lab), effective Jan 1, 2026 LA: $4.27 (lab_radiology), effective Jul 1, 2025 MS: $4.52 (comprehensive), effective Jul 1, 2026 ND: $5.02 (physician), effective Aug 1, 2026 NE: $5.02 (lab), effective Jul 1, 2026 OH: $3.77 (lab), effective Apr 1, 2021 OK: $4.47 (physician, non-facility), effective Jul 1, 2026 VA: $5.02 (medical), effective Jan 1, 2020 VT: $4.89 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $4.02 (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.