43752 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 43752

Payer coverage policies that name 43752

43752 appears in 1 coverage policy from Aetna.

Medicaid fee-for-service

• AZ: $156.11 (asc), effective Oct 1, 2026
• CO: $31.56 (chp_plus, non-facility), effective Jul 1, 2026
• FL: $27.34 (physician, non-facility), effective Jan 1, 2026
• IL: $35.05 (practitioner), effective Jul 1, 2026
• IN: $30.70 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
• KS: $27.22 (default, Exempt Physician), effective Aug 1, 2024
• KY: $236.01 (asc), effective Jan 1, 2026
• LA: $33.33 (professional), effective Feb 1, 2013
• MA: $156.16 (asc), effective May 1, 2026
• MS: $169.38 (comprehensive, facility), effective Oct 1, 2025
• ND: $139.13 (physician, facility), effective Aug 1, 2026
• NE: $74.10 (physician, non-facility), effective Jul 1, 2026
• NY: $19.61 (physician_surgery, facility), effective Jul 1, 2026
• OK: $31.08 (physician, non-facility), effective Jul 1, 2026
• TX: $112.34 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
• VA: $29.80 (medical), effective Jul 1, 2026
• VT: $346.86 (outpatient_hospital_opps), effective Feb 1, 2026
• WA: $308.28 (asc), effective Jul 1, 2026
• WY: $197.56 (outpatient_hospital_apc, Ambulatory Surgical Centers), 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.