Payer policy changes
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1532 updates
Policy Payer Type Specialty Date
Linvoseltamab-gcpt (Lynozyfic) — CPB 1089 | AETNA Coverage Update AETNA Modified Hematology Mar 14, 2026
Axicabtagene Ciloleucel (Yescarta) — CPB 0924 | AETNA Coverage Update AETNA Modified Hematology Mar 14, 2026
Low-Level Laser and High-Power Laser Therapy — CPG030 | CIGNA Coverage Update CIGNA Modified Pain Management Mar 14, 2026
Transcranial Magnetic Stimulation - (EN0383) — en_mm_0383_coveragepositioncriteria_transcranial_magnetic_stimulation | CIGNA Coverage Update CIGNA Modified Neurology & Neurosurgery Mar 14, 2026
Fecal Calprotectin Testing - (0121) — MM 0121 | CIGNA Coverage Update CIGNA Modified Gastroenterology Mar 14, 2026
Manipulation Under Anesthesia - (0276) — MM 0276 | CIGNA Coverage Update CIGNA Modified Pain Management Mar 14, 2026
Total Ankle Arthroplasty/Replacement - (0285) — MM 0285 | CIGNA Coverage Update CIGNA Modified Orthopedics & Spine, Podiatry Mar 14, 2026
Intestinal and Multivisceral Transplantation - (0288) — MM 0288 | CIGNA Coverage Update CIGNA Modified General Surgery Mar 14, 2026
Transvaginal Ultrasound, Non-Obstetrical - (0398) — MM 0398 | CIGNA Coverage Update CIGNA Modified Radiology & Imaging, OB/GYN Mar 14, 2026
Peripheral Nerve Stimulation and Peripheral Nerve Field Stimulation - (0539) — MM 0539 | CIGNA Coverage Update CIGNA Modified Pain Management Mar 14, 2026
Ablative Treatment for Malignant Breast Tumor - (0540) — MM 0540 | CIGNA Coverage Update CIGNA Modified Oncology Mar 14, 2026
Site of Care: High-tech Radiology - (0550) — MM 0550 | CIGNA Coverage Update CIGNA Modified Radiology & Imaging Mar 14, 2026
Diagnostic Nasal/Sinus Endoscopy, Functional Endoscopic Sinus Surgery (FESS) and Turbinectomy - (0554) — MM 0554 | CIGNA Coverage Update CIGNA Modified Gastroenterology, ENT / Otolaryngology Mar 14, 2026
Intermittent Pneumatic Compression Devices — CPB 0500 | AETNA Coverage Update AETNA Modified DME & Home Health Mar 13, 2026
Gender Affirming Surgery — CPB 0615 | AETNA Coverage Update AETNA Modified General Surgery Mar 13, 2026
Abatacept (Orencia) — CPB 0720 | AETNA Coverage Update AETNA Modified Rheumatology Mar 13, 2026
Upper Gastrointestinal Endoscopy and Gastrointestinal Biopsy — CPB 0738 | AETNA Coverage Update AETNA Modified Oncology, Gastroenterology Mar 13, 2026
Spinal Surgery: Laminectomy and Fusion — CPB 0743 | AETNA Coverage Update AETNA Modified Orthopedics & Spine Mar 13, 2026
Certolizumab Pegol (Cimzia) — CPB 0761 | AETNA Coverage Update AETNA Modified Rheumatology Mar 13, 2026
Golimumab (Simponi) — CPB 0790 | AETNA Coverage Update AETNA Modified Rheumatology Mar 13, 2026
Denosumab — CPB 0804 | AETNA Coverage Update AETNA Modified Endocrinology Mar 13, 2026
Cabazitaxel (Jevtana) — CPB 0806 | AETNA Coverage Update AETNA Modified Oncology Mar 13, 2026
Belimumab (Benlysta) — CPB 0818 | AETNA Coverage Update AETNA Modified Rheumatology Mar 13, 2026
Paclitaxel, Albumin-Bound — CPB 0834 | AETNA Coverage Update AETNA Modified Oncology Mar 13, 2026
Ramucirumab (Cyramza) — CPB 0883 | AETNA Coverage Update AETNA Modified Oncology Mar 13, 2026

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