CMM-207: Epidural AdhesiolysisEffective 05/31/2023 - 07/31/2024
Effective May 31, 2023
2,957 active EviCore by Evernorth 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 EviCore by Evernorth before submitting.
Free account. Policy pages stay open to everyone.
451–500 of 2,957, by type and title
Effective May 31, 2023
Effective Jul 1, 2021
Effective Aug 1, 2022
Effective Aug 11, 2017
Effective Oct 22, 2018
Effective May 31, 2023
Effective Jul 1, 2025
Effective Aug 1, 2022
Effective Aug 1, 2024
Effective Sep 1, 2022
Effective Feb 4, 2021
Effective Feb 14, 2020
Effective Feb 15, 2019
Effective Jul 1, 2021
Effective Aug 1, 2019
Effective Aug 11, 2017
Effective Oct 22, 2018
Effective Feb 4, 2021
Effective Feb 14, 2020
Effective May 31, 2023
Effective Jul 1, 2021
Effective Aug 1, 2022
Effective Oct 22, 2018
Effective Feb 15, 2019
Effective Feb 4, 2021
Effective Feb 14, 2020
Effective Feb 15, 2019
Effective May 31, 2023
Effective Jul 1, 2021
Effective Aug 1, 2019
Effective Aug 1, 2022
Effective Aug 11, 2017
Effective Oct 22, 2018
Effective May 31, 2023
Effective Jul 1, 2021
Effective Aug 1, 2022
Effective Sep 1, 2022
Effective Feb 4, 2021
Effective Feb 14, 2020
Effective Feb 15, 2019
Effective Aug 1, 2019