Surest (UnitedHealthcare) · PayerPolicy · SUREST-POL-SUREST-xolair-omalizumab
Summary of the payer’s published policy. Not a coverage determination — confirm with Surest (UnitedHealthcare) before submitting.
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Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.
| Code | Code system | Status in this policy |
|---|---|---|
| J2357 | HCPCS | Covered |