Policy library / E0767 Commercial payer policies listing E0767 7 policies from 6 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Cigna policies listing E0767, with the code’s status in each Policy Effective Status of E0767 Cigna Commercial DME Code List PayerPolicy · EVICORE-HPLAN-CIGNA-3C6BF790C032 Mar 7, 2026 Prior auth required Cigna Comprehensive Code List PayerPolicy · EVICORE-HPLAN-CIGNA-1766449955E6 Mar 7, 2026 Prior auth required
Surest (UnitedHealthcare) policies listing E0767, with the code’s status in each Policy Effective Status of E0767 Electric Tumor Treatment Field Therapy PayerPolicy · SUREST-POL-SUREST-electric-tumor-treatment-field-therapy Sep 1, 2026 Covered
UMR (UnitedHealthcare) policies listing E0767, with the code’s status in each Policy Effective Status of E0767 Electric Tumor Treatment Field Therapy PayerPolicy · UMR-POL-UMR-electric-tumor-treatment-field-therapy Sep 1, 2026 Covered
UnitedHealthcare policies listing E0767, with the code’s status in each Policy Effective Status of E0767 Electric Tumor Treatment Field Therapy PayerPolicy · UHC-POL-electric-tumor-treatment-field-therapy Sep 1, 2026 Covered