Payer policy changes
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Every Aetna, Cigna, CMS, and UnitedHealthcare change, summarized weekly for your specialty.

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1511 updates
Policy Payer Type Specialty Date
Home Traction Devices - Cervical and Lumbar | CIGNA Coverage Update CIGNA Modified Orthopedics & Spine Apr 16, 2026
Breast Implant Removal - (0048) | CIGNA Coverage Update CIGNA Modified General Surgery Apr 16, 2026
Allergy Testing and Non-Pharmacologic Treatment - (0070) | CIGNA Coverage Update CIGNA Modified Primary Care Apr 16, 2026
Tumor In Vitro Chemosensitivity and Chemoresistance Assays - (0203) | CIGNA Coverage Update CIGNA Modified Oncology Apr 16, 2026
Bone Mineral Density Measurement - (0300) | CIGNA Coverage Update CIGNA Modified Endocrinology Apr 16, 2026
Liver and Liver-Kidney Transplantation - (0355) | CIGNA Coverage Update CIGNA Modified Gastroenterology, Urology & Nephrology Apr 16, 2026
Category III Current Procedural Terminology (CPT®) Codes - (0558) | CIGNA Coverage Update CIGNA Modified General / Multi-Specialty Apr 16, 2026
Amplitude-Modulated Radiofrequency Electromagnetic Fields (AM RF-EMF) Therapy - (0581) | CIGNA Coverage Update CIGNA Modified Oncology Apr 16, 2026
Home Prothrombin Time/International Normalized Ratio (PT/INR) Monitoring for Anticoagulation Management | CMS Coverage Update CMS Modified Hematology Apr 15, 2026
Antineoplaston Therapy | AETNA Coverage Update AETNA Modified Oncology Apr 14, 2026
Molecular Pathology/Molecular Diagnostics/Genetic Testing – Medicare Advantage Medical Policy | UHC Coverage Update UHC Modified Laboratory Apr 14, 2026
Nivolumab Products (Opdivo, Opdivo Qvantig, and Opdualag) | AETNA Coverage Update AETNA Modified Oncology Apr 11, 2026
Sinus Surgeries | AETNA Coverage Update AETNA Modified ENT / Otolaryngology Apr 11, 2026
Follitropins and Menotropins | AETNA Coverage Update AETNA Modified OB/GYN Apr 11, 2026
Genetic Testing for Reproductive Carrier Screening and Prenatal Diagnosis - (0514) | CIGNA Coverage Update CIGNA Modified OB/GYN, Laboratory, Primary Care Apr 11, 2026
Molecular and Proteomic Diagnostic Testing for Hematology and Oncology Indications - (0520) | CIGNA Coverage Update CIGNA Modified Oncology, Hematology Apr 11, 2026
Elivaldogene Autotemcel (Skysona) | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Apr 9, 2026
Routine Foot Care | AETNA Coverage Update AETNA Modified Podiatry Apr 8, 2026
Ixabepilone (Ixempra) | AETNA Coverage Update AETNA Modified Oncology Apr 8, 2026
Pre-Exposure Prophylaxis (PrEP) for Human Immunodeficiency Virus (HIV) Prevention | CMS Coverage Update CMS Modified Infectious Disease Apr 8, 2026
Cardiac Contractility Modulation (CCM) for Heart Failure (HF) | CMS Coverage Update CMS Modified Cardiology Apr 8, 2026
Network Adequacy Provision (NAP) - (UM-20) | CIGNA Coverage Update CIGNA Modified General / Multi-Specialty Apr 7, 2026
Eculizumab | AETNA Coverage Update AETNA Modified Hematology Apr 2, 2026
Crovalimab-akkz (PiaSky) - 1064 | AETNA Coverage Update AETNA Modified Hematology Apr 2, 2026
Nipocalimab-aahu (Imaavy) | AETNA Coverage Update AETNA Modified Rheumatology Apr 2, 2026

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