BCBS Montana coverage policies

409 active BCBS Montana policies in Backwork, grouped by policy type. Each policy page shows the codes the policy lists and links to the payer’s own copy.

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

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Policies

1–50 of 409, by type and title

PayerPolicy

BCBSMT-RX501.113

Abatacept

Effective Apr 1, 2026

BCBSMT-SUR705.040

Ablation of Peripheral Nerves to Treat Pain

Effective Dec 15, 2025

BCBSMT-SUR706.017

Absorbable Nasal Implant for Treatment of Nasal Valve Collapse

Effective Dec 15, 2025

BCBSMT-MED201.048

Actigraphy

Effective Oct 15, 2025

BCBSMT-SUR716.021

Adipose-Derived Stem Cells in Autologous Fat Grafting to the Breast

Effective Apr 1, 2025

BCBSMT-DME103.007

Adjustable Cranial Orthoses for Positional Plagiocephaly and Craniosynostoses

Effective Jun 15, 2026

BCBSMT-THE801.024

Adoptive Immunotherapy

Effective Dec 15, 2025

BCBSMT-OTH903.027

Aflibercept and Associated Biosimilar(s)

Effective Jan 1, 2026

BCBSMT-DME101.027

Airway Clearance Devices

Effective Dec 1, 2025