Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
82,180 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
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| Sep 30, 2026 | Independence Blue Cross | Laboratory Services for Members Enrolled in Health Maintenance Organization (HMO) or Health Maintenance Organization Point-of-Service (HMO-POS) ProductsPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA00-030 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | High-Technology Radiology ServicesPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA09-002 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Experimental/Investigational ServicesPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA00-005 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Bundled Procedure CodesPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA00-026 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Aqueous Shunts, Minimally Invasive Glaucoma Surgeries (including Microstents), Viscocanalostomy, and Canaloplasty for the Treatment of GlaucomaPayerPolicy · IBX-MEDICARE-ADVANTAGE-MA11-105 | Metadata changed |
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| Sep 30, 2026 | Independence Blue Cross | Wound Care: Skin Substitutes for the Treatment of Burns and Chronic, Non-Healing WoundsPayerPolicy · IBX-COMMERCIAL-11-08-20 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Therapies for Spinal Muscular AtrophyPayerPolicy · IBX-COMMERCIAL-08-01-36 | Metadata changed |
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| Sep 30, 2026 | Independence Blue Cross | Sleep Disorder Testing and Positive Airway Pressure Therapy Services and SuppliesPayerPolicy · IBX-COMMERCIAL-07-03-05 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Services Paid Above Capitation for Health Maintenance Organization (HMO) and Health Maintenance Organization Point-of-Service (HMO-POS) Primary Care ProvidersPayerPolicy · IBX-COMMERCIAL-00-10-01 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Self-Administered Drugs and BiologicsPayerPolicy · IBX-COMMERCIAL-08-00-78 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Routine/Non-routine VaccinesPayerPolicy · IBX-COMMERCIAL-08-01-04 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Rituximab (Rituxan) Infusion and Related Biosimilars, and Rituximab/Hyaluronidase Human for Subcutaneous Injection (Rituxan Hycela)PayerPolicy · IBX-COMMERCIAL-08-00-50 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Reimbursement for Radiopharmaceutical AgentsPayerPolicy · IBX-COMMERCIAL-09-00-32 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Reconstructive Breast Surgery and Post-Mastectomy ProsthesesPayerPolicy · IBX-COMMERCIAL-11-08-15 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Psychiatric Collaborative Care Management (CoCM)PayerPolicy · IBX-COMMERCIAL-00-01-70 | Metadata changed |
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| Sep 30, 2026 | Independence Blue Cross | Preventive Care ServicesPayerPolicy · IBX-COMMERCIAL-00-06-02 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative ServicesPayerPolicy · IBX-COMMERCIAL-00-01-25 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Papzimeos (zopapogene imadenovec-drba)PayerPolicy · IBX-COMMERCIAL-08-02-48 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Modifier 62: Two SurgeonsPayerPolicy · IBX-COMMERCIAL-00-10-11 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other ServicePayerPolicy · IBX-COMMERCIAL-03-00-06 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Laboratory Services for Members Enrolled in Health Maintenance Organization (HMO) or Health Maintenance Organization Point-of-Service (HMO-POS) ProductsPayerPolicy · IBX-COMMERCIAL-00-03-07 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Intravitreal Injection of Vascular Endothelial Growth Factor (VEGF) Antagonists, VEGF Biosimilars, and Combination VEGF/Angiopoietin-2 (Ang-2) InhibitorsPayerPolicy · IBX-COMMERCIAL-08-00-74 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Insulin Pumps and Long-Term Interstitial Continuous Glucose Monitoring Systems (IBC)PayerPolicy · IBX-COMMERCIAL-05-00-79 | Metadata changed |
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| Sep 30, 2026 | Independence Blue Cross | Immune Globulin Intravenous (IVIG), Subcutaneous (SCIG)PayerPolicy · IBX-COMMERCIAL-08-00-13 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | High-Technology Radiology Services (Independence)PayerPolicy · IBX-COMMERCIAL-09-00-46 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Hematopoietic Stem Cell TransplantationPayerPolicy · IBX-COMMERCIAL-11-07-01 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Genetic Testing (Independence Administrators)PayerPolicy · IBX-COMMERCIAL-06-02-35 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Experimental/Investigational ServicesPayerPolicy · IBX-COMMERCIAL-12-01-01 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | eviCore Lab Management (Independence)PayerPolicy · IBX-COMMERCIAL-06-02-52 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Durable Medical Equipment (DME) and Consumable Medical SuppliesPayerPolicy · IBX-COMMERCIAL-05-00-21 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Diagnostic Radiology Services Included in CapitationPayerPolicy · IBX-COMMERCIAL-00-03-02 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Coagulation FactorsPayerPolicy · IBX-COMMERCIAL-08-00-92 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Bundled Procedure CodesPayerPolicy · IBX-COMMERCIAL-00-01-52 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Brachytherapy and Accelerated Whole Breast Irradiation using Three-Dimensional Conformation Radiation Therapy (Independence Administrators)PayerPolicy · IBX-COMMERCIAL-09-00-10 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Botulinum Toxin AgentsPayerPolicy · IBX-COMMERCIAL-08-00-26 | New policy |
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| Sep 30, 2026 | Independence Blue Cross | Aqueous Shunts, Minimally Invasive Glaucoma Surgeries (including Microstents), Viscocanalostomy, and Canaloplasty for the Treatment of GlaucomaPayerPolicy · IBX-COMMERCIAL-11-05-16 | Metadata changed |
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| Sep 30, 2026 | EmblemHealth | Topical Oxygen Wound Therapy (Medicaid/FHP)PayerPolicy · EMBLEMHEALTH-TOPICAL-OXYGEN-WOUND-THERAPY-MEDICAID-FHP | Metadata changed |
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| Sep 30, 2026 | EmblemHealth | Stereotactic Radiosurgery and Proton Beam TherapyPayerPolicy · EMBLEMHEALTH-STEREOTACTIC-RADIOSURGERY-AND-PROTON-BEAM-THE | Metadata changed |
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| Sep 30, 2026 | EmblemHealth | Radiofrequency Ablation for Spinal PainPayerPolicy · EMBLEMHEALTH-RADIOFREQUENCY-ABLATION-FOR-SPINAL-PAIN | Metadata changed |
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| Sep 30, 2026 | EmblemHealth | Neuropsychological TestingPayerPolicy · EMBLEMHEALTH-NEUROPSYCHOLOGICAL-TESTING | Metadata changed |
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| Sep 30, 2026 | EmblemHealth | Interspinous Distraction DevicesPayerPolicy · EMBLEMHEALTH-INTERSPINOUS-DISTRACTION-DEVICES | Metadata changed |
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| Sep 30, 2026 | EmblemHealth | Hyperbaric Oxygen TherapyPayerPolicy · EMBLEMHEALTH-HYPERBARIC-OXYGEN-THERAPY | Metadata changed |
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| Sep 30, 2026 | EmblemHealth | Dorsal Column Stimulator for Pain ManagementPayerPolicy · EMBLEMHEALTH-DORSAL-COLUMN-STIMULATOR-FOR-PAIN-MANAGEMENT | Metadata changed |
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| Sep 30, 2026 | EmblemHealth | Balloon SinuplastyPayerPolicy · EMBLEMHEALTH-BALLOON-SINUPLASTY | Metadata changed |
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| Sep 30, 2026 | EmblemHealth | Application of Bioengineered Skin SubstitutesPayerPolicy · EMBLEMHEALTH-APPLICATION-OF-BIOENGINEERED-SKIN-SUBSTITUTES | Metadata changed |
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| Sep 30, 2026 | EmblemHealth | Abdominoplasty/PanniculectomyPayerPolicy · EMBLEMHEALTH-ABDOMINOPLASTY-PANNICULECTOMY | Metadata changed |
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| Sep 30, 2026 | Blue Cross of Idaho | Liver Transplant and Combined Liver-Kidney TransplantPayerPolicy · BCIDAHO-07-03-506 | Metadata changed |
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| Sep 30, 2026 | Blue Cross of Idaho | Corneal Collagen Cross-LinkingPayerPolicy · BCIDAHO-09-03-028 | Metadata changed |
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| Sep 30, 2026 | Blue Cross of Idaho | Heart/Lung TransplantPayerPolicy · BCIDAHO-07-03-008 | Metadata changed |
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| Sep 30, 2026 | Blue Cross of Idaho | Heart TransplantPayerPolicy · BCIDAHO-07-03-009 | Metadata changed |
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