Payer policy changes
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1511 updates
Policy Payer Type Specialty Date
Brentuximab Vedotin (Adcetris) — CPB 0823 | AETNA Coverage Update AETNA Modified Oncology Feb 25, 2026
Bendamustine Products — CPB 0875 | AETNA Coverage Update AETNA Modified Oncology Feb 25, 2026
Necitumumab (Portrazza) — CPB 0898 | AETNA Coverage Update AETNA Modified Oncology Feb 25, 2026
Irinotecan Liposome Injection (Onivyde) - CPB - 0902 — CPB 0902 | AETNA Coverage Update AETNA Modified Oncology Feb 25, 2026
Tisagenlecleucel (Kymriah) — CPB 0920 | AETNA Coverage Update AETNA Modified Radiology & Imaging Feb 25, 2026
Gemcitabine — CPB 0958 | AETNA Coverage Update AETNA Modified Oncology Feb 25, 2026
Sacituzumab govitecan-hziy (Trodelvy) — CPB 0971 | AETNA Coverage Update AETNA Modified Oncology Feb 25, 2026
Toripalimab-tpzi (Loqtorzi) — CPB 1049 | AETNA Coverage Update AETNA Modified Oncology Feb 25, 2026
Esophageal pH Monitoring — CPB 0667 | AETNA Coverage Update AETNA Modified Gastroenterology Feb 24, 2026
Diabetes Equipment and Supplies - (0106) — MM 0106 | CIGNA Coverage Update CIGNA Modified Endocrinology Feb 24, 2026
Diabetes Tests, Programs and Supplies — CPB 0070 | AETNA Coverage Update AETNA Modified Endocrinology Feb 21, 2026
Percutaneous Transluminal Septal Myocardial Ablation (PTSMA) — CPB 0558 | AETNA Coverage Update AETNA Modified Cardiology Feb 21, 2026
Intravenous Iron Therapy — CPB 0575 | AETNA Coverage Update AETNA Modified Hematology Feb 21, 2026
Knee Arthroscopy / Osteoarthritis of the Knee — CPB 0673 | AETNA Coverage Update AETNA Modified Orthopedics & Spine, Rheumatology Feb 21, 2026
Functional Electrical Stimulation and Neuromuscular Electrical Stimulation — CPB 0677 | AETNA Coverage Update AETNA Modified Physical Medicine & Rehab Feb 21, 2026
Nedosiran (Rivfloza) — CPB 1047 | AETNA Coverage Update AETNA Modified OB/GYN Feb 21, 2026
Lower Limb Prostheses — CPB 0578 | AETNA Coverage Update AETNA Modified DME & Home Health Feb 20, 2026
Bortezomib — CPB 0675 | AETNA Coverage Update AETNA Modified Oncology Feb 19, 2026
Cardiac Devices and Procedures for Occlusion of the Left Atrial Appendage — CPB 0791 | AETNA Coverage Update AETNA Modified Cardiology Feb 19, 2026
Electric Tumor Treatment Fields — CPB 0827 | AETNA Coverage Update AETNA Modified Oncology Feb 19, 2026
Plasminogen, Human-tvmh (Ryplazim) — CPB 0976 | AETNA Coverage Update AETNA Modified Hematology Feb 19, 2026
Lumasiran (Oxlumo) — CPB 0983 | AETNA Coverage Update AETNA Modified General / Multi-Specialty Feb 19, 2026
Lack of Information (LOI) Retrospective Review - (UM-47) — um47-lack-of-information-retrospective-review | CIGNA Coverage Update CIGNA Modified General / Multi-Specialty Feb 18, 2026
Lack of Information (LOI) Pre-Service - (UM-49) — um49-lack-of-information-pre-service | CIGNA Coverage Update CIGNA Modified General / Multi-Specialty Feb 18, 2026
Skin and Soft Tissue Substitutes — CPB 0244 | AETNA Coverage Update AETNA Modified Dermatology Feb 14, 2026

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