44380 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 44380

Payer coverage policies that name 44380

44380 appears in 3 coverage policies from Aetna, Regence.

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 44380-44408)Jul 1, 2026payer document
RegenceSurgical Site of Care – Hospital Outpatient (Utilization Management 19)listed, no stanceMay 1, 2026payer document

Medicaid fee-for-service

  • AZ: $343.75 (asc), effective Oct 1, 2026
  • CO: $45.08 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $41.30 (physician, facility), effective Jan 1, 2026
  • IL: $55.26 (practitioner), effective Apr 1, 2024
  • IN: $44.28 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $225.00 (asc, facility), effective Aug 1, 1982
  • KY: $485.98 (asc), effective Jan 1, 2026
  • LA: $182.30 (asc), effective Jul 1, 2012
  • MA: $337.55 (asc), effective May 1, 2026
  • MS: $402.71 (comprehensive, facility), effective Oct 1, 2025
  • ND: $286.48 (physician, facility), effective Aug 1, 2026
  • NE: $413.00 (asc), effective Jul 1, 2024
  • NY: $80.80 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $46.73 (physician, facility), effective Jan 1, 2024
  • OK: $443.37 (asc), effective Jan 1, 2026
  • TX: $334.95 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $46.01 (medical, facility), effective Jul 1, 2026
  • VT: $704.24 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $308.28 (asc), effective Jul 1, 2026
  • WY: $401.10 (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.