Payer policies › CPT 4336143361 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 43361 Medicaid fee-for-service AZ: $2751.01 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $1779.38 (chp_plus, non-facility), effective Jul 1, 2026 FL: $1950.36 (physician, non-facility), effective Jan 1, 2026 IL: $1906.87 (practitioner), effective Apr 1, 2024 IN: $2016.52 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $941.42 (default, Exempt Physician), effective Aug 1, 2024 KY: $1664.32 (physician, facility), effective Jan 1, 2026 LA: $2200.38 (professional), effective Jul 1, 2025 MA: $1968.25 (physician_surgery), effective May 1, 2024 MS: $2085.35 (comprehensive), effective Jul 1, 2026 ND: $2552.97 (physician), effective Aug 1, 2026 NE: $3334.50 (physician, non-facility), effective Jul 1, 2026 NY: $1229.50 (physician_surgery, facility), effective Jul 1, 2026 OH: $1635.97 (physician), effective Jan 1, 2024 OK: $2202.50 (physician, non-facility), effective Jul 1, 2026 TX: $1846.38 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $2172.45 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $1441.47 (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.