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 10, 2026 | BCBS Montana | Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia (CLL) and Small Lymphocytic Lymphoma (SLL)PayerPolicy · BCBSMT-SUR703.029 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Hematopoietic Cell Transplantation for Central Nervous System Embryonal Tumors and EpendymomaPayerPolicy · BCBSMT-SUR703.039 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Hematopoietic Cell Transplantation for Breast CancerPayerPolicy · BCBSMT-SUR703.038 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Hematopoietic Cell Transplantation for Autoimmune DiseasesPayerPolicy · BCBSMT-SUR703.036 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Hematopoietic Cell Transplantation for Acute Myeloid LeukemiaPayerPolicy · BCBSMT-SUR703.037 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Hematopoietic Cell Transplantation for Acute Lymphoblastic LeukemiaPayerPolicy · BCBSMT-SUR703.043 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Heat and Cold Therapy DevicesPayerPolicy · BCBSMT-THE801.004 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Heart/Lung TransplantPayerPolicy · BCBSMT-SUR703.006 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Heart TransplantPayerPolicy · BCBSMT-SUR703.005 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Handheld Radiofrequency Spectroscopy for Intraoperative Assessment of Surgical Margins During Breast-Conserving SurgeryPayerPolicy · BCBSMT-SUR701.037 | Criteria changed |
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| May 10, 2026 | BCBS Montana | GuselkumabPayerPolicy · BCBSMT-RX501.175 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Gonadotropin-Releasing Hormone (GnRH) Agonists and AntagonistsPayerPolicy · BCBSMT-RX501.041 | Criteria changed |
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| May 10, 2026 | BCBS Montana | GolimumabPayerPolicy · BCBSMT-RX501.112 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Givosiran for Acute Hepatic PorphyriaPayerPolicy · BCBSMT-RX501.125 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Genicular Artery EmbolizationPayerPolicy · BCBSMT-SUR705.048 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Gene Therapy for Inherited Retinal DystrophyPayerPolicy · BCBSMT-RX501.098 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Gene Therapy for Aromatic L-amino Acid Decarboxylase DeficiencyPayerPolicy · BCBSMT-RX501.178 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Gene Therapies for Treatment of Wounds in Dystrophic Epidermolysis BullosaPayerPolicy · BCBSMT-RX501.164 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Gene Therapies for ThalassemiaPayerPolicy · BCBSMT-RX501.166 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Gene Therapies for Sickle Cell DiseasePayerPolicy · BCBSMT-RX501.167 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Gene Therapies for Metachromatic LeukodystrophyPayerPolicy · BCBSMT-RX501.171 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Gender Assignment Surgery and Gender Reassignment Surgery with Related ServicesPayerPolicy · BCBSMT-SUR717.001 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Gastrointestinal Pathogen PanelsPayerPolicy · BCBSMT-MED207.155 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Functional Neuromuscular Electrical StimulationPayerPolicy · BCBSMT-MED201.033 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Focal Treatments for Prostate CancerPayerPolicy · BCBSMT-SUR717.004 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Fetal Surgery for Prenatally Diagnosed MalformationsPayerPolicy · BCBSMT-SUR701.016 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Fecal Microbiota Transplantation (FMT)PayerPolicy · BCBSMT-SUR703.049 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Fecal Analysis in the Diagnosis of Intestinal DysbiosisPayerPolicy · BCBSMT-MED207.118 | Criteria changed |
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| May 10, 2026 | BCBS Montana | FDA - Drugs, Biologicals, Cellular and Gene TherapiesPayerPolicy · BCBSMT-RX501.087 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Faricimab-svoaPayerPolicy · BCBSMT-OTH903.044 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Facet Joint InjectionsPayerPolicy · BCBSMT-SUR702.015 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Facet Joint and Sacroiliac Joint DenervationPayerPolicy · BCBSMT-SUR702.017 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Facet ArthroplastyPayerPolicy · BCBSMT-SUR712.034 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Extracranial Carotid Angioplasty or StentingPayerPolicy · BCBSMT-SUR701.028 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal ConditionsPayerPolicy · BCBSMT-SUR705.018 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Extracorporeal PhotopheresisPayerPolicy · BCBSMT-THE801.026 | Criteria changed |
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| May 10, 2026 | BCBS Montana | External Counterpulsation (ECP) Therapy for Severe AnginaPayerPolicy · BCBSMT-MED202.050 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Evinacumab-dgnbPayerPolicy · BCBSMT-RX501.136 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Etranacogene dezaparvovec-drlbPayerPolicy · BCBSMT-RX501.151 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Esophageal pH MonitoringPayerPolicy · BCBSMT-MED201.005 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Esketamine Nasal SprayPayerPolicy · BCBSMT-RX501.105 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Erythropoiesis-Stimulating Agents (ESAs)PayerPolicy · BCBSMT-RX501.069 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Eptinezumab-jjmrPayerPolicy · BCBSMT-RX501.124 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Enzyme-Replacement Therapy for Lysosomal Storage DisordersPayerPolicy · BCBSMT-RX501.067 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Endovascular Stent Grafts for Disorders of the Thoracic AortaPayerPolicy · BCBSMT-MED202.057 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Endovascular Procedures for Intracranial Arterial Disease (Atherosclerosis and Aneurysms)PayerPolicy · BCBSMT-SUR701.027 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Endoscopic Ultrasound-Guided Direct Hepatic Portosystemic Pressure Gradient MeasurementPayerPolicy · BCBSMT-SUR701.043 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Endoscopic Radiofrequency Ablation or Cryoablation for Barrett EsophagusPayerPolicy · BCBSMT-SUR709.033 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Elivaldogene autotemcelPayerPolicy · BCBSMT-RX501.149 | Criteria changed |
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| May 10, 2026 | BCBS Montana | Electrostimulation and Electromagnetic Therapy for Treating WoundsPayerPolicy · BCBSMT-MED201.027 | Criteria changed |
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