Payer policies › CPT 9357393573 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 93573 Payer coverage policies that name 93573 93573 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Nerve Blocks (0863) listed, no stance (range 92920-93799) Jul 23, 2026 payer document
Medicaid fee-for-service AZ: $63.11 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $49.86 (health_first_colorado), effective Jul 1, 2026 FL: $14.38 (physician, non-facility), effective Jan 1, 2026 IL: $42.06 (practitioner), effective Apr 1, 2024 IN: $48.22 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $30.88 (default, Exempt Physician), effective Aug 1, 2024 KY: $52.81 (physician, facility), effective Jan 1, 2026 LA: $55.16 (professional), effective Jan 1, 2023 MA: $45.88 (physician_medicine), effective May 1, 2024 MS: $52.38 (comprehensive), effective Jul 1, 2026 ND: $66.84 (physician), effective Aug 1, 2026 NE: $92.67 (physician, non-facility), effective Jul 1, 2026 NY: $33.55 (physician_medicine, facility), effective Jul 1, 2026 OH: $48.05 (physician), effective Jan 1, 2023 OK: $48.36 (physician, facility), effective Jul 1, 2026 TX: $48.92 (miscellaneous_other_professionals_portable_x_ray_radiologica, Miscellaneous Other Professionals - Portable X-Ray, Radiological Lab, Physiological Lab, non-facility), effective Sep 1, 2025 VA: $46.01 (medical, facility), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $31.15 (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.