95044 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 95044

Payer coverage policies that name 95044

95044 appears in 7 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Centene, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).

PayerPolicyRole in policyReviewedDocument
AetnaAllergy and Hypersensitivity (0038)covered if criteria are metMar 10, 2026payer document
AetnaAutism Spectrum Disorders (0648)not coveredOct 2, 2025payer document
AetnaOmalizumab (0670)listed, no stance (range 95004-95079)Aug 21, 2026payer document
Blue Cross & Blue Shield of MississippiAllergy Testing (L.2.01.428)listed, no stancepayer document
Blue Cross NCAllergy Skin and Challenge Testinglisted, no stanceNov 1, 2025payer document
CenteneAllergy Testing and Therapy (CP.MP.100)covered if criteria are metSep 1, 2023payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Medical Policies Moving to MCG Guidelines
Spectrum Disorders (ASD) | 70460, 70470, 70496, 70551, | Disorders – Gene Panels
listed, no stanceJan 1, 2026payer document

Medicaid fee-for-service

  • AZ: $11.10 (outpatient_hospital), effective Oct 1, 2025
  • CO: $4.19 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $3.90 (physician, non-facility), effective Jan 1, 2026
  • IL: $3.31 (practitioner), effective Jul 1, 2026
  • IN: $3.68 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $4.44 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $5.34 (physician, facility), effective Jan 1, 2026
  • LA: $4.64 (professional), effective Feb 1, 2013
  • MA: $3.95 (physician_medicine), effective May 1, 2024
  • MS: $3.84 (comprehensive), effective Jul 1, 2026
  • ND: $5.26 (physician), effective Aug 1, 2026
  • NE: $8.22 (physician, non-facility), effective Jul 1, 2026
  • NY: $3.92 (physician_medicine, facility), effective Jul 1, 2026
  • OH: $4.53 (physician), effective Dec 31, 2014
  • OK: $4.15 (physician, non-facility), effective Jul 1, 2026
  • TX: $4.21 (physician, Physician, non-facility), effective Mar 1, 2024
  • VA: $4.34 (medical), effective Jul 1, 2026
  • VT: $666.78 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $3.06 (physician, facility), effective Jul 1, 2026
  • WY: $379.77 (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.