45309 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 45309

Payer coverage policies that name 45309

45309 appears in 2 coverage policies from Aetna.

Medicaid fee-for-service

• AZ: $383.41 (asc), effective Oct 1, 2026
• CO: $94.31 (chp_plus, non-facility), effective Jul 1, 2026
• FL: $67.02 (physician, facility), effective Jan 1, 2026
• IL: $89.89 (practitioner), effective Apr 1, 2024
• IN: $67.63 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
• KS: $225.00 (asc, facility), effective Jan 1, 1994
• KY: $641.09 (asc), effective Jan 1, 2026
• LA: $182.30 (asc), effective Jul 1, 2012
• MA: $431.31 (asc), effective May 1, 2026
• MS: $506.37 (comprehensive, facility), effective Oct 1, 2025
• ND: $377.92 (physician, facility), effective Aug 1, 2026
• NE: $413.00 (asc), effective Jul 1, 2024
• NY: $45.44 (physician_surgery, facility), effective Jul 1, 2026
• OH: $91.36 (physician, facility), effective Jan 1, 2024
• OK: $584.88 (asc), effective Jan 1, 2026
• TX: $429.26 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
• VA: $74.65 (medical, facility), effective Jul 1, 2026
• VT: $929.15 (outpatient_hospital_opps), effective Feb 1, 2026
• WA: $308.28 (asc), effective Jul 1, 2026
• WY: $529.20 (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.