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Payer policy changes
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1511 updates
Policy Payer Type Specialty Date
Laboratory Testing Services - (0604) — MM 0604 | CIGNA Coverage Update CIGNA Modified Laboratory Mar 14, 2026
Intermittent Pneumatic Compression Devices — CPB 0500 | AETNA Coverage Update AETNA Modified DME & Home Health Mar 13, 2026
Gender Affirming Surgery — CPB 0615 | AETNA Coverage Update AETNA Modified General Surgery Mar 13, 2026
Abatacept (Orencia) — CPB 0720 | AETNA Coverage Update AETNA Modified Rheumatology Mar 13, 2026
Upper Gastrointestinal Endoscopy and Gastrointestinal Biopsy — CPB 0738 | AETNA Coverage Update AETNA Modified Oncology, Gastroenterology Mar 13, 2026
Spinal Surgery: Laminectomy and Fusion — CPB 0743 | AETNA Coverage Update AETNA Modified Orthopedics & Spine Mar 13, 2026
Certolizumab Pegol (Cimzia) — CPB 0761 | AETNA Coverage Update AETNA Modified Rheumatology Mar 13, 2026
Golimumab (Simponi) — CPB 0790 | AETNA Coverage Update AETNA Modified Rheumatology Mar 13, 2026
Denosumab — CPB 0804 | AETNA Coverage Update AETNA Modified Endocrinology Mar 13, 2026
Cabazitaxel (Jevtana) — CPB 0806 | AETNA Coverage Update AETNA Modified Oncology Mar 13, 2026
Belimumab (Benlysta) — CPB 0818 | AETNA Coverage Update AETNA Modified Rheumatology Mar 13, 2026
Paclitaxel, Albumin-Bound — CPB 0834 | AETNA Coverage Update AETNA Modified Oncology Mar 13, 2026
Ramucirumab (Cyramza) — CPB 0883 | AETNA Coverage Update AETNA Modified Oncology Mar 13, 2026
Vedolizumab (Entyvio) — CPB 0885 | AETNA Coverage Update AETNA Modified Gastroenterology Mar 13, 2026
Pembrolizumab (Keytruda) — CPB 0890 | AETNA Coverage Update AETNA Modified Oncology Mar 13, 2026
Romosozumab-aqqg (Evenity) — CPB 0954 | AETNA Coverage Update AETNA Modified Rheumatology Mar 13, 2026
Infectious Diseases: Selected Tests — CPB 1008 | AETNA Coverage Update AETNA Modified Infectious Disease Mar 13, 2026
Lecanemab-irmb (Leqembi) — CPB 1026 | AETNA Coverage Update AETNA Modified Neurology & Neurosurgery Mar 13, 2026
Epcoritamab-bysp (Epkinly) — CPB 1034 | AETNA Coverage Update AETNA Modified Oncology Mar 13, 2026
Glofitamab-gxbm (Columvi) — CPB 1036 | AETNA Coverage Update AETNA Modified Oncology Mar 13, 2026
Toxicology: Per- and Polyfluoroalkyl Substances (PFAS) Testing — CPB 1067 | AETNA Coverage Update AETNA Modified Laboratory Mar 13, 2026
Afamitresgene Autoleucel (Tecelra) — CPB 1068 | AETNA Coverage Update AETNA Modified Oncology Mar 13, 2026
Oxygen | AETNA Coverage Update AETNA Modified DME & Home Health Mar 12, 2026
Color-Flow Doppler Echocardiography in Adults | AETNA Coverage Update AETNA Modified Cardiology Mar 12, 2026
Cardiac Rehabilitation | AETNA Coverage Update AETNA Modified Cardiology, Physical Medicine & Rehab Mar 12, 2026

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