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 | MetroPlusHealth | UM-MP349 Lyfgenia (lovotibeglogene autotemcel)PayerPolicy · METROPLUS-UM-MP349 | Metadata changed |
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| Sep 30, 2026 | MetroPlusHealth | UM-MP347 Breyanzi (lisocabtagene maraleucel)PayerPolicy · METROPLUS-UM-MP347 | Metadata changed |
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| Sep 30, 2026 | MetroPlusHealth | UM-MP346 Carvykti (ciltacabtagene autoleucel)PayerPolicy · METROPLUS-UM-MP346 | Metadata changed |
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| Sep 30, 2026 | MetroPlusHealth | UM-MP334 Abecma (idecabtagene vicleucel)PayerPolicy · METROPLUS-UM-MP334 | Metadata changed |
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| Sep 30, 2026 | MetroPlusHealth | UM-MP238 Erectile Dysfunction TreatmentPayerPolicy · METROPLUS-UM-MP238 | Metadata changed |
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| Sep 30, 2026 | MetroPlusHealth | UM-MP237 Electromyography and Nerve Conduction StudyPayerPolicy · METROPLUS-UM-MP237 | Metadata changed |
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| Sep 30, 2026 | MetroPlusHealth | UM-MP235 Botulinumtoxin TherapyPayerPolicy · METROPLUS-UM-MP235 | Metadata changed |
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| Sep 30, 2026 | MetroPlusHealth | UM-MP230 Yescarta (Axicabtagene ciloleucel)PayerPolicy · METROPLUS-UM-MP230 | Metadata changed |
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| Sep 30, 2026 | MetroPlusHealth | UM-MP219 Kymriah (tisagenlecleucel)PayerPolicy · METROPLUS-UM-MP219 | Metadata changed |
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| Sep 30, 2026 | MetroPlusHealth | UM-MP202 Bariatric SurgeryPayerPolicy · METROPLUS-UM-MP202 | Metadata changed |
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| Sep 30, 2026 | MetroPlusHealth | UM-MP200 Abdominoplasty PanniculectomyPayerPolicy · METROPLUS-UM-MP200 | Metadata changed |
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| Sep 30, 2026 | Kaiser Permanente Washington | Lymphedema TherapyPayerPolicy · KAISER_WA-KPWA-LYMPHEDEMA-THERAPY-6490E58542 | Retired |
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| Sep 30, 2026 | Kaiser Permanente Washington | Lymphatic Venous Anastomosis (LVA) for the Treatment of LymphedemaPayerPolicy · KAISER_WA-KPWA-LYMPHATIC-VENOUS-ANASTOMOSIS-LVA-FOR-THE-TREATMENT-OF-LY-4CB58B57DB | Retired |
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| Sep 30, 2026 | Highmark Wholecare | Cosmetic and Reconstructive Surgery (L35090)PayerPolicy · HIGHMARK_WHOLECARE-HMWC-MEDICARE-MEDICAL-MP-080-MC-PA-COSMETICRECONSTRUCTIVE-SEP2-8C01DCB895 | Retired |
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| Sep 30, 2026 | Highmark Wholecare | UpliznaPayerPolicy · HIGHMARK_WHOLECARE-HMWC-MEDICAID-MEDICATIO-5WDKHNIZYKCINLF5FCIHZW-4E71B86473 | Retired |
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| Sep 30, 2026 | Highmark Wholecare | Treatment of the ProstatePayerPolicy · HIGHMARK_WHOLECARE-HMWC-MEDICAID-MEDICAL-MP-107-MD-PA-PROSTATICUROLIFTSYSTEM-AR20-B5B81225D3 | Retired |
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| Sep 30, 2026 | Highmark Wholecare | Ambulance Services – GroundPayerPolicy · HIGHMARK_WHOLECARE-HMWC-MEDICAID-MEDICAL-MP-072-MD-PA-AMBULANCEGROUND-SPET22-DD177C9E31 | Retired |
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| Sep 30, 2026 | Highmark Wholecare | Breast Reconstructive SurgeryPayerPolicy · HIGHMARK_WHOLECARE-HMWC-MEDICAID-MEDICAL-MP-052-MD-PA-BREASTRECONSTRUCTIVESURGERY-E21B71EAA2 | Retired |
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| Sep 30, 2026 | Highmark Wholecare | Gender Affirmation ServicesPayerPolicy · HIGHMARK_WHOLECARE-HMWC-MEDICAID-MEDICAL-MP-033-MD-PA-GENDERAFFIRMATION-APR23-F9918D966C | Retired |
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| Sep 30, 2026 | Highmark Wholecare | Whole Exome and Whole Genome Sequencing for Diagnosis of Genetic DisordersPayerPolicy · HIGHMARK_WHOLECARE-HMWC-MEDICAID-MEDICAL-MP-013-MD-PA-WHOLEEXOMEGENOME-SEPT22-A3C0148976 | Retired |
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| Sep 30, 2026 | Highmark Wholecare | VanrafiaPayerPolicy · HIGHMARK_WHOLECARE-MEDICATION-VANRAFIA | New policy |
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| Sep 30, 2026 | Highmark Wholecare | Thyroid Disorder Laboratory TestingPayerPolicy · HIGHMARK_WHOLECARE-MP-108-MC-PA | New policy |
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| Sep 30, 2026 | Highmark Wholecare | Somatic Mutation TestingPayerPolicy · HIGHMARK_WHOLECARE-MP-109-MC-PA | New policy |
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| Sep 30, 2026 | Highmark Wholecare | Respiratory Pathogen Panel TestingPayerPolicy · HIGHMARK_WHOLECARE-MP-107-MC-PA | New policy |
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| Sep 30, 2026 | Highmark Wholecare | Pathology Testing with Mohs Micrographic SurgeryPayerPolicy · HIGHMARK_WHOLECARE-MP-110-MC-PA | New policy |
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| Sep 30, 2026 | Highmark Wholecare | Nail Disorder Infectious Disease Testing, Including OnychomycosisPayerPolicy · HIGHMARK_WHOLECARE-MP-111-MC-PA | New policy |
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| Sep 30, 2026 | Highmark Wholecare | Cosmetic and Reconstructive Surgery (L35090)PayerPolicy · HIGHMARK_WHOLECARE-MP-080-MC-PA | New policy |
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| Sep 30, 2026 | Highmark Wholecare | Whole Exome and Whole Genome Sequencing for Diagnosis of Genetic DisordersPayerPolicy · HIGHMARK_WHOLECARE-MP-013-MD-PA | New policy |
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| Sep 30, 2026 | Highmark Wholecare | UV Light TherapyPayerPolicy · HIGHMARK_WHOLECARE-MP-159-MD-PA | New policy |
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| Sep 30, 2026 | Highmark Wholecare | Optical Coherence Tomography (OCT) of the EarPayerPolicy · HIGHMARK_WHOLECARE-MP-160-MD-PA | New policy |
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| Sep 30, 2026 | Highmark Wholecare | Knee Pain Treatment with Genicular ProceduresPayerPolicy · HIGHMARK_WHOLECARE-MP-145-MD-PA | New policy |
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| Sep 30, 2026 | Highmark Wholecare | Hospital BedsPayerPolicy · HIGHMARK_WHOLECARE-MP-156-MD-PA | New policy |
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| Sep 30, 2026 | Highmark Wholecare | HLA Testing for Celiac DiseasePayerPolicy · HIGHMARK_WHOLECARE-MP-158-MD-PA | New policy |
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| Sep 30, 2026 | Highmark Wholecare | Gender Affirmation ServicesPayerPolicy · HIGHMARK_WHOLECARE-MP-033-MD-PA | New policy |
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| Sep 30, 2026 | Highmark Wholecare | Dental Sedation and AnesthesiaPayerPolicy · HIGHMARK_WHOLECARE-MP-154-MD-PA | New policy |
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| Sep 30, 2026 | Highmark Wholecare | Breast and Nipple ProsthesesPayerPolicy · HIGHMARK_WHOLECARE-MP-153-MD-PA | New policy |
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| Sep 30, 2026 | Highmark Wholecare | Blood Glucose Monitors with Voice Synthesizer and Integrated Lancing/Blood SamplePayerPolicy · HIGHMARK_WHOLECARE-MP-157-MD-PA | New policy |
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| Sep 30, 2026 | Highmark Wholecare | Ambulance Services – GroundPayerPolicy · HIGHMARK_WHOLECARE-MP-072-MD-PA | New policy |
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| Sep 30, 2026 | HealthPartners | Onasemnogene abeparvovec-xioi (Zolgensma) – Minnesota Health Care ProgramsPayerPolicy · HEALTHPARTNERS-CC-ENTRY-221637 | Retired |
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| Sep 30, 2026 | HealthPartners | Teprotumumab-trbw (Tepezza) and veligrotug-vvze (Lumvoa) – Minnesota Health Care ProgramsPayerPolicy · HEALTHPARTNERS-CC-ENTRY-231638 | Metadata changed |
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| Sep 30, 2026 | HealthPartners | Teprotumumab-trbw (Tepezza) and veligrotug-vvze (Lumvoa)PayerPolicy · HEALTHPARTNERS-CC-ENTRY-226990 | Metadata changed |
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| Sep 30, 2026 | HealthPartners | Seat lift mechanism - Minnesota Health Care ProgramsPayerPolicy · HEALTHPARTNERS-CC-ENTRY-295531 | New policy |
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| Sep 30, 2026 | HealthPartners | Seat lift mechanismPayerPolicy · HEALTHPARTNERS-CC-AENTRY-046031 | Metadata changed |
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| Sep 30, 2026 | HealthPartners | Residential – psychiatric residential treatment facility (PRTF) - Minnesota Health Care Programs (PRTF)PayerPolicy · HEALTHPARTNERS-CC-ENTRY-295590 | New policy |
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| Sep 30, 2026 | HealthPartners | Residential – psychiatric residential treatment facility (PRTF)PayerPolicy · HEALTHPARTNERS-CC-ENTRY-279614 | Metadata changed |
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| Sep 30, 2026 | HealthPartners | Reduction mammaplasty - effective 11/01/2026PayerPolicy · HEALTHPARTNERS-CC-ENTRY-294690 | New policy |
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| Sep 30, 2026 | HealthPartners | Prosthesis - upper limb – Minnesota Health Care ProgramsPayerPolicy · HEALTHPARTNERS-CC-ENTRY-295456 | New policy |
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| Sep 30, 2026 | HealthPartners | Prosthesis - upper limbPayerPolicy · HEALTHPARTNERS-CC-AENTRY-046198 | Metadata changed |
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| Sep 30, 2026 | HealthPartners | Pneumatic compression devices and heat/cold therapy units – Minnesota Health Care ProgramsPayerPolicy · HEALTHPARTNERS-CC-ENTRY-295457 | New policy |
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| Sep 30, 2026 | HealthPartners | Pneumatic compression devices and heat/cold therapy unitsPayerPolicy · HEALTHPARTNERS-CC-AENTRY-046101 | Metadata changed |
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