Payer policies › CPT 4534145341 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 45341 Payer coverage policies that name 45341 45341 appears in 6 coverage policies from Aetna, Centene.
Payer Policy Role in policy Reviewed Document Aetna Colonoscopy, Colorectal Cancer Screening, and Related Procedures (0516) covered if criteria are met (range 45330-45350) Aug 20, 2026 payer document Aetna Endoscopic Ultrasonography (0446) covered if criteria are met Jul 22, 2026 payer document Aetna Risankizumab-rzaa (Skyrizi) (1009) listed, no stance (range 45300-45393) Jul 1, 2026 payer document Aetna Transrectal Ultrasound (0001) covered if criteria are met Mar 5, 2026 payer document Aetna Urological Supplies (0533) listed, no stance (range 45000-45999) Jul 30, 2026 payer document Centene Anesthesiology Services for Gastrointestinal Endoscopy (CP.MP.161) covered if criteria are met May 1, 2019 payer document
Medicaid fee-for-service Prior authorization required or conditional in LA.
AZ: $297.60 (asc), effective Oct 1, 2026 CO: $97.04 (chp_plus, non-facility), effective Jul 1, 2026 FL: $86.76 (physician, non-facility), effective Jan 1, 2026 IL: $119.54 (practitioner), effective Apr 1, 2024 IN: $94.83 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $225.00 (asc, facility), effective Jan 1, 2001 KY: $498.31 (asc), effective Jan 1, 2026 LA: $103.45 (professional), effective Feb 1, 2013 MA: $328.08 (asc), effective May 1, 2026 MS: $391.58 (comprehensive, facility), effective Oct 1, 2025 ND: $293.76 (physician, facility), effective Aug 1, 2026 NE: $413.00 (asc), effective Jul 1, 2024 NY: $74.57 (physician_surgery, facility), effective Jul 1, 2026 OH: $107.98 (physician), effective Sep 1, 2005 OK: $454.62 (asc), effective Jan 1, 2026 TX: $328.50 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023 VA: $96.64 (medical), effective Jul 1, 2026 VT: $722.08 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $308.28 (asc), effective Jul 1, 2026 WY: $411.26 (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.