Payer policies › CPT 4327943279 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 43279 Payer coverage policies that name 43279 43279 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Barrett's Esophagus (0728) covered if criteria are met Nov 25, 2025 payer document
Medicaid fee-for-service Prior authorization required or conditional in WV.
AZ: $1306.47 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $1002.74 (chp_plus, non-facility), effective Jul 1, 2026 FL: $1297.98 (pediatric_surgery, pediatric surgeon), effective Jan 1, 2025 IL: $906.10 (practitioner), effective Apr 1, 2024 IN: $958.66 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $626.50 (default, Exempt Physician), effective Aug 1, 2024 KY: $969.91 (physician, facility), effective Jan 1, 2026 LA: $209.37 (professional), effective Jul 1, 2025 MA: $935.51 (physician_surgery), effective May 1, 2024 MS: $999.28 (comprehensive), effective Jul 1, 2026 ND: $1224.48 (physician), effective Aug 1, 2026 NE: $1630.20 (physician, non-facility), effective Jul 1, 2026 NY: $603.84 (physician_surgery, facility), effective Jul 1, 2026 OH: $966.17 (physician), effective Jan 1, 2024 OK: $1055.01 (physician, non-facility), effective Jul 1, 2026 TX: $141.34 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $1039.35 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $690.06 (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.