Payer policies › CPT 9201892018 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 92018 Medicaid fee-for-service AZ: $1451.70 (outpatient_hospital), effective Oct 1, 2021 CO: $114.84 (chp_plus, non-facility), effective Jul 1, 2026 FL: $96.06 (physician, non-facility), effective Jan 1, 2026 IL: $131.48 (practitioner), effective Apr 1, 2024 IN: $109.88 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $250.00 (asc, facility), effective Aug 1, 1982 KY: $45.00 (asc), effective Jan 1, 2026 LA: $111.15 (professional), effective Jul 1, 2025 MA: $102.85 (physician_medicine), effective May 1, 2024 MS: $121.59 (comprehensive), effective Jul 1, 2020 ND: $124.66 (physician), effective Aug 1, 2026 NE: $104.19 (physician, non-facility), effective Jul 1, 2026 NY: $64.11 (physician_medicine, facility), effective Jul 1, 2026 OH: $62.60 (physician), effective Jan 1, 2024 OK: $257.15 (asc), effective Jan 1, 2026 TX: $108.96 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Apr 1, 2016 VA: $98.09 (medical), effective Jul 1, 2026 VT: $1846.02 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $67.08 (physician, facility), effective Jul 1, 2026 WY: $1051.41 (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.