66174 commercial payer coverage policies

7 commercial payer policies list 66174. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.

Get free alerts for 66174

Free account. Policy pages stay open to everyone.

Commercial payer policies listing 66174

7 policies from 5 payers

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Cigna

Cigna policies listing 66174, with the code’s status in each
Policy	Effective	Status of 66174
Cigna Commercial Other Services Code ListPayerPolicy · EVICORE-HPLAN-CIGNA-906C8C902629	Mar 7, 2026	Prior auth required
Cigna Comprehensive Code ListPayerPolicy · EVICORE-HPLAN-CIGNA-1766449955E6	Mar 7, 2026	Prior auth required
Glaucoma Surgical ProceduresPayerPolicy · CIGNA-0035	Apr 15, 2026	Covered

Anthem

Anthem policies listing 66174, with the code’s status in each
Policy	Effective	Status of 66174
CanaloplastyClinical Guideline · ANTHEM-CG-SURG-125	Jan 6, 2026	Covered

Surest (UnitedHealthcare)

Surest (UnitedHealthcare) policies listing 66174, with the code’s status in each
Policy	Effective	Status of 66174
Glaucoma Surgical TreatmentsPayerPolicy · SUREST-POL-SUREST-glaucoma-surgical-treatments	Sep 1, 2026	Covered

UMR (UnitedHealthcare)

UMR (UnitedHealthcare) policies listing 66174, with the code’s status in each
Policy	Effective	Status of 66174
Glaucoma Surgical TreatmentsPayerPolicy · UMR-POL-UMR-glaucoma-surgical-treatments	Sep 1, 2026	Covered

UnitedHealthcare

UnitedHealthcare policies listing 66174, with the code’s status in each
Policy	Effective	Status of 66174
Glaucoma Surgical TreatmentsPayerPolicy · UHC-POL-glaucoma-surgical-treatments	Sep 1, 2026	Covered