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Payer policy changes
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1511 updates
Policy Payer Type Specialty Date
Upper Limb Prostheses — CPB 0399 | AETNA Coverage Update AETNA Modified DME & Home Health Feb 14, 2026
Viscocanalostomy and Canaloplasty — CPB 0435 | AETNA Coverage Update AETNA Modified Ophthalmology Feb 14, 2026
Zoledronic Acid — CPB 0524 | AETNA Coverage Update AETNA Modified Oncology Feb 14, 2026
Headaches: Invasive Procedures — CPB 0707 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Feb 14, 2026
Selected Kidney Function Tests — CPB 0775 | AETNA Coverage Update AETNA Modified Urology & Nephrology Feb 14, 2026
Plerixafor — CPB 0779 | AETNA Coverage Update AETNA Modified Hematology Feb 14, 2026
Gene-Based Therapy for Duchenne Muscular Dystrophy (DMD) — CPB 0911 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Feb 14, 2026
Brexanolone (Zulresso) - 0951 — CPB 0951 | AETNA Coverage Update AETNA Modified Behavioral Health Feb 14, 2026
Ultrasound Guidance - Selected Indications — CPB 0952 | AETNA Coverage Update AETNA Modified Radiology & Imaging Feb 14, 2026
Idecabtagene Vicleucel (Abecma) — CPB 0992 | AETNA Coverage Update AETNA Modified Hematology Feb 14, 2026
Motixafortide (Aphexda) — CPB 1046 | AETNA Coverage Update AETNA Modified Oncology Feb 14, 2026
Obecabtagene Autoleucel (Aucatzyl) — CPB 1072 | AETNA Coverage Update AETNA Modified Hematology Feb 14, 2026
Complementary and Alternative Medicine - (EN0086) — en_mm_0086_coveragepositioncriteria_complementary_and_alternative_medicine | CIGNA Coverage Update CIGNA Modified General / Multi-Specialty Feb 14, 2026
Endometrial Ablation - (0013) — MM 0013 | CIGNA Coverage Update CIGNA Modified Cardiology Feb 14, 2026
Bariatric Surgery and Procedures - (0051) — MM 0051 | CIGNA Coverage Update CIGNA Modified Gastroenterology Feb 14, 2026
Bone Graft Substitutes - (0118) — MM 0118 | CIGNA Coverage Update CIGNA Modified Orthopedics & Spine Feb 14, 2026
Intraocular Lens Implant - (0125) — MM 0125 | CIGNA Coverage Update CIGNA Modified Ophthalmology Feb 14, 2026
Vagus Nerve Stimulation (VNS) - (0350) — MM 0350 | CIGNA Coverage Update CIGNA Modified Neurology & Neurosurgery Feb 14, 2026
Compression Devices - (0354) — MM 0354 | CIGNA Coverage Update CIGNA Modified DME & Home Health Feb 14, 2026
Autonomic Nerve Function Testing - (0506) — MM 0506 | CIGNA Coverage Update CIGNA Modified Neurology & Neurosurgery Feb 14, 2026
Transthoracic Echocardiography in Adults - (0510) — MM 0510 | CIGNA Coverage Update CIGNA Modified Cardiology Feb 14, 2026
Electroencephalography - (0521) — MM 0521 | CIGNA Coverage Update CIGNA Modified Neurology & Neurosurgery Feb 14, 2026
Transthoracic Echocardiography in Children - (0523) — MM 0523 | CIGNA Coverage Update CIGNA Modified Cardiology Feb 14, 2026
Cardiac Ablation of Abnormal Electrical Rhythms - (0529) — MM 0529 | CIGNA Coverage Update CIGNA Modified Cardiology Feb 14, 2026
Nucleic Acid Pathogen Testing - (0530) — MM 0530 | CIGNA Coverage Update CIGNA Modified Laboratory Feb 14, 2026

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