Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
86,510 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
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| May 17, 2026 | BCBS Illinois | Hematopoietic Cell Transplantation for Central Nervous System Embryonal Tumors and EpendymomaPayerPolicy · BCBSIL-SUR703.039 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Hematopoietic Cell Transplantation for Breast CancerPayerPolicy · BCBSIL-SUR703.038 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Hematopoietic Cell Transplantation for Autoimmune DiseasesPayerPolicy · BCBSIL-SUR703.036 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Hematopoietic Cell Transplantation for Acute Myeloid LeukemiaPayerPolicy · BCBSIL-SUR703.037 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Hematopoietic Cell Transplantation for Acute Lymphoblastic LeukemiaPayerPolicy · BCBSIL-SUR703.043 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Heat and Cold Therapy DevicesPayerPolicy · BCBSIL-THE801.004 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Heart/Lung TransplantPayerPolicy · BCBSIL-SUR703.006 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Heart TransplantPayerPolicy · BCBSIL-SUR703.005 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Handheld Radiofrequency Spectroscopy for Intraoperative Assessment of Surgical Margins During Breast-Conserving SurgeryPayerPolicy · BCBSIL-SUR701.037 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | GuselkumabPayerPolicy · BCBSIL-RX501.175 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Gonadotropin-Releasing Hormone (GnRH) Agonists and AntagonistsPayerPolicy · BCBSIL-RX501.041 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | GolimumabPayerPolicy · BCBSIL-RX501.112 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Givosiran for Acute Hepatic PorphyriaPayerPolicy · BCBSIL-RX501.125 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Genicular Artery EmbolizationPayerPolicy · BCBSIL-SUR705.048 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Gene Therapy for Inherited Retinal DystrophyPayerPolicy · BCBSIL-RX501.098 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Gene Therapy for Aromatic L-amino Acid Decarboxylase DeficiencyPayerPolicy · BCBSIL-RX501.178 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Gene Therapies for Treatment of Wounds in Dystrophic Epidermolysis BullosaPayerPolicy · BCBSIL-RX501.164 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Gene Therapies for ThalassemiaPayerPolicy · BCBSIL-RX501.166 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Gene Therapies for Sickle Cell DiseasePayerPolicy · BCBSIL-RX501.167 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Gene Therapies for Metachromatic LeukodystrophyPayerPolicy · BCBSIL-RX501.171 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Gender Assignment Surgery and Gender Reassignment Surgery with Related ServicesPayerPolicy · BCBSIL-SUR717.001 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Gastrointestinal Pathogen PanelsPayerPolicy · BCBSIL-MED207.155 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Functional Neuromuscular Electrical StimulationPayerPolicy · BCBSIL-MED201.033 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Focal Treatments for Prostate CancerPayerPolicy · BCBSIL-SUR717.004 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Fetal Surgery for Prenatally Diagnosed MalformationsPayerPolicy · BCBSIL-SUR701.016 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Fecal Microbiota Transplantation (FMT)PayerPolicy · BCBSIL-SUR703.049 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Fecal Analysis in the Diagnosis of Intestinal DysbiosisPayerPolicy · BCBSIL-MED207.118 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | FDA - Drugs, Biologicals, Cellular and Gene TherapiesPayerPolicy · BCBSIL-RX501.087 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Faricimab-svoaPayerPolicy · BCBSIL-OTH903.044 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Facet Joint InjectionsPayerPolicy · BCBSIL-SUR702.015 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Facet Joint and Sacroiliac Joint DenervationPayerPolicy · BCBSIL-SUR702.017 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Facet ArthroplastyPayerPolicy · BCBSIL-SUR712.034 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Extracranial Carotid Angioplasty or StentingPayerPolicy · BCBSIL-SUR701.028 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal ConditionsPayerPolicy · BCBSIL-SUR705.018 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Extracorporeal PhotopheresisPayerPolicy · BCBSIL-THE801.026 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | External Counterpulsation (ECP) Therapy for Severe AnginaPayerPolicy · BCBSIL-MED202.050 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Evinacumab-dgnbPayerPolicy · BCBSIL-RX501.136 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Etranacogene dezaparvovec-drlbPayerPolicy · BCBSIL-RX501.151 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Esophageal pH MonitoringPayerPolicy · BCBSIL-MED201.005 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Esketamine Nasal SprayPayerPolicy · BCBSIL-RX501.105 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Erythropoiesis-Stimulating Agents (ESAs)PayerPolicy · BCBSIL-RX501.069 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Eptinezumab-jjmrPayerPolicy · BCBSIL-RX501.124 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Enzyme-Replacement Therapy for Lysosomal Storage DisordersPayerPolicy · BCBSIL-RX501.067 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Endovascular Stent Grafts for Disorders of the Thoracic AortaPayerPolicy · BCBSIL-MED202.057 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Endovascular Procedures for Intracranial Arterial Disease (Atherosclerosis and Aneurysms)PayerPolicy · BCBSIL-SUR701.027 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Endoscopic Ultrasound-Guided Direct Hepatic Portosystemic Pressure Gradient MeasurementPayerPolicy · BCBSIL-SUR701.043 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Endoscopic Radiofrequency Ablation or Cryoablation for Barrett EsophagusPayerPolicy · BCBSIL-SUR709.033 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Elivaldogene autotemcelPayerPolicy · BCBSIL-RX501.149 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Electrostimulation and Electromagnetic Therapy for Treating WoundsPayerPolicy · BCBSIL-MED201.027 | Criteria changed |
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| May 17, 2026 | BCBS Illinois | Electrical Stimulation of the Spine as an Adjunct to Spinal Fusion ProceduresPayerPolicy · BCBSIL-SUR705.013 | Criteria changed |
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