Payer policy changes
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1532 updates
Policy Payer Type Specialty Date
Durvalumab (Imfinzi) — CPB 0917 | AETNA Coverage Update AETNA Modified Oncology Mar 12, 2026
Lutetium Lu Dotatate (Lutathera) and Lutetium Lu 177 Vipivotide Tetraxetan (Pluvicto) — CPB 0929 | AETNA Coverage Update AETNA Modified Oncology Mar 12, 2026
Cemiplimab (Libtayo) — CPB 0942 | AETNA Coverage Update AETNA Modified Oncology Mar 12, 2026
Onasemnogene abeparvovec-xioi (Zolgensma) — CPB 0953 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Mar 12, 2026
Inebilizumab-cdon (Uplizna) — CPB 0975 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Mar 12, 2026
Lurbinectedin (Zepzelca) — CPB 0978 | AETNA Coverage Update AETNA Modified Oncology Mar 12, 2026
Lisocabtagene Maraleucel (Breyanzi) — CPB 0986 | AETNA Coverage Update AETNA Modified Oncology Mar 12, 2026
Anti-Cancer Chemotherapy for Colorectal Cancer — NCD 291 | CMS Coverage Update CMS Modified Oncology Mar 12, 2026
Transrectal Ultrasound | AETNA Coverage Update AETNA Modified Radiology & Imaging Mar 7, 2026
Apnea Monitors for Infants | AETNA Coverage Update AETNA Modified DME & Home Health Mar 7, 2026
Obstructive Sleep Apnea in Adults | AETNA Coverage Update AETNA Modified Pulmonology Mar 7, 2026
Erectile Dysfunction and Peyronie's disease | AETNA Coverage Update AETNA Modified Urology & Nephrology Mar 7, 2026
Continuous Passive Motion (CPM) Machines | AETNA Coverage Update AETNA Modified Orthopedics & Spine Mar 7, 2026
Cochlear Implants and Auditory Brainstem Implants | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery, ENT / Otolaryngology Mar 7, 2026
Injectable Medications | AETNA Coverage Update AETNA Modified Pharmacy Mar 7, 2026
Pulmonary Rehabilitation | AETNA Coverage Update AETNA Modified Pulmonology, Physical Medicine & Rehab Mar 7, 2026
Intraoperative Neurophysiological Monitoring — CPB 0697 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Mar 6, 2026
Secukinumab (Cosentyx) — CPB 0905 | AETNA Coverage Update AETNA Modified Rheumatology Mar 5, 2026
Mirikizumab-mrkz (Omvoh) — CPB 1048 | AETNA Coverage Update AETNA Modified Gastroenterology Mar 5, 2026
Datopotamab Deruxtecan-dlnk (Datroway) — CPB 1078 | AETNA Coverage Update AETNA Modified Oncology Mar 5, 2026
Eyelid Surgery — CPB 0084 | AETNA Coverage Update AETNA Modified Ophthalmology Mar 4, 2026
Antepartum Fetal Surveillance — CPB 0088 | AETNA Coverage Update AETNA Modified OB/GYN Mar 4, 2026
Carotid Sinus Stimulation for Hypertension — CPB 0820 | AETNA Coverage Update AETNA Modified ENT / Otolaryngology Mar 4, 2026
Irreversible Electroporation (NanoKnife) — CPB 0828 | AETNA Coverage Update AETNA Modified Interventional Procedures Mar 4, 2026
Optical Coherence Tomography and Microelastography for Solid Tumors and Other Selected Indications — CPB 0886 | AETNA Coverage Update AETNA Modified Oncology Mar 4, 2026

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