44378 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 44378

Payer coverage policies that name 44378

44378 appears in 2 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaIntravenous Iron Therapy (0575)listed, no stance (range 44005-44799)Jul 1, 2026payer document
AetnaRisankizumab-rzaa (Skyrizi) (1009)listed, no stance (range 44360-44379)Jul 1, 2026payer document

Medicaid fee-for-service

  • AZ: $617.94 (asc), effective Oct 1, 2026
  • CO: $300.01 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $260.55 (physician, non-facility), effective Jan 1, 2026
  • IL: $318.30 (practitioner), effective Jul 1, 2026
  • IN: $292.42 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $225.00 (asc, facility), effective Jan 1, 1994
  • KY: $873.00 (asc), effective Jan 1, 2026
  • LA: $182.30 (asc), effective Jul 1, 2012
  • MA: $563.60 (asc), effective May 1, 2026
  • MS: $691.32 (comprehensive, facility), effective Oct 1, 2025
  • ND: $514.64 (physician, facility), effective Aug 1, 2026
  • NE: $413.00 (asc), effective Jul 1, 2024
  • NY: $197.16 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $328.74 (physician), effective Jan 1, 2000
  • OK: $796.46 (asc), effective Jan 1, 2026
  • TX: $564.97 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $290.22 (medical), effective Jul 1, 2026
  • VT: $1489.96 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $308.28 (asc), effective Jul 1, 2026
  • WY: $848.61 (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.