Payer policies › CPT 4331443314 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 43314 Medicaid fee-for-service AZ: $3165.57 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $2429.22 (chp_plus, non-facility), effective Jul 1, 2026 FL: $2927.00 (pediatric_surgery, pediatric surgeon), effective Jan 1, 2025 IL: $2199.76 (practitioner), effective Apr 1, 2024 IN: $2319.76 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $1904.51 (default, Exempt Physician), effective Aug 1, 2024 KY: $2206.23 (physician, facility), effective Jan 1, 2026 LA: $507.46 (professional), effective Jul 1, 2025 MA: $2266.29 (physician_surgery), effective May 1, 2024 MS: $2391.08 (comprehensive), effective Jul 1, 2026 ND: $2916.82 (physician), effective Aug 1, 2026 NE: $3853.20 (physician, non-facility), effective Jul 1, 2026 OH: $2214.42 (physician), effective Jan 1, 2024 OK: $2524.56 (physician, non-facility), effective Jul 1, 2026 TX: $2219.90 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $2487.56 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $1647.09 (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.