Payer policies › CPT 4340043400 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 43400 Payer coverage policies that name 43400 43400 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Somatostatin Analogs (0693) listed, no stance Jul 15, 2026 payer document
Medicaid fee-for-service AZ: $1554.72 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $710.84 (chp_plus, non-facility), effective Jul 1, 2026 FL: $1104.55 (physician, non-facility), effective Jan 1, 2026 IL: $1077.06 (practitioner), effective Apr 1, 2024 IN: $1139.88 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $794.59 (default, Exempt Physician), effective Aug 1, 2024 KY: $786.11 (physician, facility), effective Jan 1, 2026 LA: $1243.24 (professional), effective Jul 1, 2025 MA: $1114.98 (physician_surgery), effective May 1, 2024 MS: $1180.35 (comprehensive), effective Jul 1, 2026 ND: $1447.90 (physician), effective Aug 1, 2026 NE: $295.92 (physician, non-facility), effective Jul 1, 2026 NY: $713.15 (physician_surgery, facility), effective Jul 1, 2026 OH: $826.28 (physician), effective Jan 1, 2024 OK: $1246.79 (physician, non-facility), effective Jul 1, 2026 TX: $175.67 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $1230.32 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $817.33 (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.