50434 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 50434

Payer coverage policies that name 50434

50434 appears in 1 coverage policy from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaBupivacaine Liposome (Exparel) (0941)listed, no stance (range 50010-53899)Jul 30, 2026payer document

Medicaid fee-for-service

  • AZ: $690.65 (asc), effective Oct 1, 2026
  • CO: $171.35 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $129.63 (physician, facility), effective Jan 1, 2026
  • IL: $128.62 (practitioner), effective Jan 1, 2016
  • IN: $145.57 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $190.63 (asc, facility), effective Jan 1, 2016
  • KY: $978.05 (asc), effective Jan 1, 2026
  • LA: $233.58 (asc), effective Jan 1, 2016
  • MA: $899.31 (asc), effective May 1, 2026
  • MS: $767.90 (comprehensive, facility), effective Oct 1, 2025
  • ND: $576.56 (physician, facility), effective Aug 1, 2026
  • NE: $373.46 (physician, non-facility), effective Jul 1, 2026
  • NY: $115.41 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $169.10 (physician, facility), effective Jan 1, 2024
  • OK: $150.12 (physician, facility), effective Jul 1, 2026
  • TX: $652.80 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $144.39 (medical, facility), effective Jul 1, 2026
  • VT: $1623.10 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $308.28 (asc), effective Jul 1, 2026
  • WY: $924.45 (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.