Payer policies › CPT 6734067340 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 67340 Payer coverage policies that name 67340 67340 appears in 3 coverage policies from Aetna, Anthem.
Payer Policy Role in policy Reviewed Document Aetna Graves' Ophthalmopathy Treatments (0419) covered if criteria are met (range 67311-67343) Apr 23, 2026 payer document Aetna Strabismus Repair (0566) covered if criteria are met Aug 6, 2026 payer document Anthem Surgical Strabismus Correction (CG-SURG-41) covered if criteria are met Nov 6, 2025 payer document
Medicaid fee-for-service Prior authorization required or conditional in WA, WV.
AZ: $1733.49 (outpatient_hospital), effective Oct 1, 2013 CO: $236.13 (chp_plus, non-facility), effective Jul 1, 2026 FL: $198.08 (physician, non-facility), effective Jan 1, 2026 IL: $277.22 (practitioner), effective Apr 1, 2024 IN: $224.55 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $400.00 (asc, facility), effective Aug 1, 1982 KY: $0.00 (asc), effective Jan 1, 2026 LA: $217.00 (asc), effective Jul 1, 2012 MA: $0.00 (asc), effective May 1, 2026 MS: $199.88 (comprehensive), effective Jul 1, 2026 MT: $278.41 (optometric, facility), effective Jul 1, 2025 ND: $253.83 (physician), effective Aug 1, 2026 NE: $785.00 (asc), effective Jul 1, 2024 NY: $242.40 (physician_surgery, facility), effective Jul 1, 2026 OH: $265.26 (physician), effective Jul 1, 2002 OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026 TX: $42.09 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2023 VA: $202.26 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $137.59 (physician, facility), effective Jul 1, 2026 WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), 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.