Payer policy changes
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1511 updates
Policy Payer Type Specialty Date
Guillain-Barre Syndrome Treatments — CPB 0732 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Dec 20, 2025
Dexamethasone Ophthalmic Implant (Ozurdex) and Insert (Dextenza) — CPB 0795 | AETNA Coverage Update AETNA Modified Ophthalmology Dec 20, 2025
Renal Sympathetic Nerve Ablation — CPB 0847 | AETNA Coverage Update AETNA Modified Cardiology, Urology & Nephrology Dec 20, 2025
Brachial Plexus Surgery — CPB 0850 | AETNA Coverage Update AETNA Modified Orthopedics & Spine Dec 20, 2025
Ravulizumab-cwvz (Ultomiris) — CPB 0946 | AETNA Coverage Update AETNA Modified Hematology Dec 20, 2025
Fosdenopterin (Nulibry) — CPB 0991 | AETNA Coverage Update AETNA Modified Pharmacy Dec 20, 2025
Testosterone Cypionate Injections — CPB 1014 | AETNA Coverage Update AETNA Modified Endocrinology Dec 20, 2025
Denileukin Diftitox-cxdl (Lymphir) — CPB 1070 | AETNA Coverage Update AETNA Modified Oncology Dec 20, 2025
Zolbetuximab-clzb (Vyloy) — CPB 1071 | AETNA Coverage Update AETNA Modified Oncology Dec 20, 2025
Cosibelimab-ipdl (Unloxcyt) — CPB 1074 | AETNA Coverage Update AETNA Modified Oncology Dec 20, 2025
Zanidatamab-hrii (Ziihera) — CPB 1075 | AETNA Coverage Update AETNA Modified Oncology Dec 20, 2025
Zenocutuzumab-zbco (Bizengri) — CPB 1076 | AETNA Coverage Update AETNA Modified Oncology Dec 20, 2025
Revakinagene Taroretcel-lwey (Encelto) — CPB 1079 | AETNA Coverage Update AETNA Modified Oncology Dec 20, 2025
Hyperbaric and Topical Oxygen Therapies - (0053) — MM 0053 | CIGNA Coverage Update CIGNA Modified General Surgery Dec 20, 2025
Continuity of Care Service Requests - (UM-41) — um41-continuity-of-care-service-requests | CIGNA Coverage Update CIGNA Modified General / Multi-Specialty Dec 20, 2025
Total Body Photography, Dermoscopy and Other Selected Noninvasive Dermatologic Tests — CPB 0188 | AETNA Coverage Update AETNA Modified Dermatology Dec 18, 2025
Speech Therapy — CPB 0243 | AETNA Coverage Update AETNA Modified Physical Medicine & Rehab Dec 18, 2025
Ultra Rapid Detoxification (UROD) — CPB 0317 | AETNA Coverage Update AETNA Modified Behavioral Health Dec 18, 2025
Breast Pumps — CPB 0421 | AETNA Coverage Update AETNA Modified OB/GYN Dec 18, 2025
Tuberculosis Testing — CPB 0471 | AETNA Coverage Update AETNA Modified Infectious Disease Dec 18, 2025
Transpupillary Thermal Therapy — CPB 0490 | AETNA Coverage Update AETNA Modified Ophthalmology Dec 18, 2025
Positron Emission Tomography (PET) — CPB 0071 | AETNA Coverage Update AETNA Modified Radiology & Imaging Dec 17, 2025
Viscosupplementation — CPB 0179 | AETNA Coverage Update AETNA Modified Orthopedics & Spine Dec 17, 2025
Hematopoietic Cell Transplantation for Selected Leukemias — CPB 0640 | AETNA Coverage Update AETNA Modified Hematology Dec 17, 2025
Neuralgia Inducing Cavitational Osteonecrosis (NICO) and Ultrasonograph Bone Densitometer to Detect NICO — CPB 0642 | AETNA Coverage Update AETNA Modified Dental Dec 17, 2025

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