26434 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 26434

Payer coverage policies that name 26434

26434 appears in 3 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaNerve Blocks (0863)listed, no stance (range 26010-26989)Jul 23, 2026payer document
AetnaRemote Ischemic Conditioning (0814)listed, no stance (range 20000-29999)Nov 20, 2025payer document
AetnaSkin and Soft Tissue Substitutes (0244)not covered (range 20100-29999)Jul 29, 2026payer document
AetnaSkin and Soft Tissue Substitutes (0244)not covered (range 26350-26502)Jul 29, 2026payer document

Medicaid fee-for-service

  • AZ: $1062.88 (asc), effective Oct 1, 2026
  • CO: $299.30 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $539.28 (physician, non-facility), effective Jan 1, 2026
  • IL: $469.24 (practitioner), effective Apr 1, 2024
  • IN: $532.17 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $448.13 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $1605.64 (asc), effective Jan 1, 2026
  • LA: $265.13 (asc), effective Jul 1, 2012
  • MA: $1093.32 (asc), effective May 1, 2026
  • MS: $1263.33 (comprehensive, facility), effective Oct 1, 2025
  • ND: $946.52 (physician, facility), effective Aug 1, 2026
  • NE: $637.00 (asc), effective Jul 1, 2024
  • NY: $325.06 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $390.39 (physician), effective Jan 1, 2024
  • OK: $1464.86 (asc), effective Jan 1, 2026
  • TX: $1088.27 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $600.69 (medical), effective Jul 1, 2026
  • VT: $2540.58 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $339.40 (asc), effective Jul 1, 2026
  • WY: $1447.00 (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.