Payer policies › CPT 3878038780 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 38780 Payer coverage policies that name 38780 38780 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Infertility (0327) listed, no stance Jul 16, 2026 payer document
Medicaid fee-for-service AZ: $1084.02 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $861.55 (chp_plus, non-facility), effective Jul 1, 2026 FL: $761.39 (physician, non-facility), effective Jan 1, 2026 IL: $998.80 (practitioner), effective Jul 1, 2026 IN: $804.28 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $666.33 (default, Exempt Physician), effective Aug 1, 2024 KY: $951.96 (physician, facility), effective Jan 1, 2026 LA: $855.69 (professional), effective Jul 1, 2025 MA: $767.74 (physician_surgery), effective May 1, 2024 MS: $817.64 (comprehensive), effective Jul 1, 2026 ND: $1020.96 (physician), effective Aug 1, 2026 NE: $2200.76 (physician, non-facility), effective Jul 1, 2026 NY: $504.84 (physician_surgery, facility), effective Jul 1, 2026 OH: $879.53 (physician), effective Jan 1, 2000 OK: $863.35 (physician, non-facility), effective Jul 1, 2026 TX: $115.33 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $848.09 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $569.67 (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.