Payer policies › CPT 4341543415 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 43415 Medicaid fee-for-service AZ: $2593.41 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $710.84 (chp_plus, non-facility), effective Jul 1, 2026 FL: $1877.88 (physician, non-facility), effective Jan 1, 2026 IL: $1809.51 (practitioner), effective Apr 1, 2024 IN: $1906.07 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $626.65 (default, Exempt Physician), effective Aug 1, 2024 KY: $868.33 (physician, facility), effective Jan 1, 2026 LA: $2090.69 (professional), effective Jul 1, 2025 MA: $1860.15 (physician_surgery), effective May 1, 2024 MS: $2013.51 (comprehensive), effective Jul 1, 2026 ND: $2468.86 (physician), effective Aug 1, 2026 NE: $889.20 (physician, non-facility), effective Jul 1, 2026 NY: $803.82 (physician_surgery, facility), effective Jul 1, 2026 OH: $1304.14 (physician), effective Jan 1, 2024 OK: $2125.34 (physician, non-facility), effective Jul 1, 2026 TX: $284.45 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026 VA: $2091.73 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $1389.68 (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.