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Payer policy changes
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1511 updates
Policy Payer Type Specialty Date
Emapalumab-lzsg (Gamifant) — CPB 0948 | AETNA Coverage Update AETNA Modified Hematology Dec 9, 2025
Oxaliplatin — CPB 0683 | AETNA Coverage Update AETNA Modified Oncology Dec 6, 2025
Devices for Post-Operative Use Following Endoscopic Sinus Surgery — CPB 0840 | AETNA Coverage Update AETNA Modified ENT / Otolaryngology Dec 6, 2025
Near-Infrared Vascular Imaging and Near- Infrared Fluorescence Imaging — CPB 0846 | AETNA Coverage Update AETNA Modified Radiology & Imaging Dec 6, 2025
Levoleucovorin (Fusilev and Khapzory) — CPB 0889 | AETNA Coverage Update AETNA Modified Oncology Dec 6, 2025
Docetaxel — CPB 0956 | AETNA Coverage Update AETNA Modified Oncology Dec 6, 2025
Luspatercept-aamt (Reblozyl) — CPB 0963 | AETNA Coverage Update AETNA Modified Hematology Dec 6, 2025
Tremelimumab-actl (Imjudo) — CPB 1019 | AETNA Coverage Update AETNA Modified Oncology Dec 6, 2025
Tislelizumab-jsgr (Tevimbra) — CPB 1057 | AETNA Coverage Update AETNA Modified Oncology Dec 6, 2025
Clinical Trials – — A003 | CIGNA Coverage Update CIGNA Modified General / Multi-Specialty Dec 6, 2025
Stereolithographic Models and Implants — CPB 0613 | AETNA Coverage Update AETNA Modified Orthopedics & Spine Dec 5, 2025
Hematopoietic Cell Transplantation for Testicular Cancer — CPB 0617 | AETNA Coverage Update AETNA Modified Oncology Dec 5, 2025
Cetuximab (Erbitux) — CPB 0684 | AETNA Coverage Update AETNA Modified Oncology Dec 5, 2025
Cardiopulmonary Exercise Testing — CPB 0825 | AETNA Coverage Update AETNA Modified Pulmonology Dec 5, 2025
Transcatheter Aortic Valve Implantation — CPB 0826 | AETNA Coverage Update AETNA Modified Cardiology Dec 5, 2025
Intra-vascular Optical Coherence Tomography — CPB 0829 | AETNA Coverage Update AETNA Modified Cardiology Dec 5, 2025
Bio-Surgery: Medicinal Leech Therapy and Medical Maggots — CPB 0556 | AETNA Coverage Update AETNA Modified General Surgery Dec 4, 2025
Cancer Vaccines — CPB 0557 | AETNA Coverage Update AETNA Modified Oncology, Infectious Disease Dec 4, 2025
Voice Prosthesis for Voice Rehabilitation Following Total Laryngectomy — CPB 0560 | AETNA Coverage Update AETNA Modified Physical Medicine & Rehab Dec 4, 2025
Retinopathy Telescreening Systems — CPB 0563 | AETNA Coverage Update AETNA Modified Primary Care Dec 4, 2025
Endolymphatic Hydrops (Meniere's Disease) Tests — CPB 0571 | AETNA Coverage Update AETNA Modified ENT / Otolaryngology Dec 4, 2025
Low Vision Programs — CPB 0580 | AETNA Coverage Update AETNA Modified Ophthalmology Dec 4, 2025
Titanium Rib — CPB 0582 | AETNA Coverage Update AETNA Modified Orthopedics & Spine Dec 4, 2025
Intensity Modulated Radiation Therapy — CPB 0590 | AETNA Coverage Update AETNA Modified Oncology Dec 4, 2025
Aerosolized or Irrigated Anti-infectives for Sinusitis — CPB 0593 | AETNA Coverage Update AETNA Modified ENT / Otolaryngology Dec 4, 2025

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