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 | UnitedHealthcare | Spinraza (Nusinersen) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-SPINRAZA-NUSINERSEN-CS | Metadata changed |
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| Sep 30, 2026 | UnitedHealthcare | Roctavian (Valoctocogene Roxaparvovec-Rvox) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ROCTAVIAN-CS | Metadata changed |
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| Sep 30, 2026 | UnitedHealthcare | Outpatient Surgical Procedures – Site of ServicePayerPolicy · UHC-COMM-MD-OUTPATIENT-SURG-PROCEDURES-SITE-SERVICE-CS | Metadata changed |
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| Sep 30, 2026 | UnitedHealthcare | Oncology Medication Clinical Coverage – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ONCOLOGY-MEDICATION-CLINICAL-COVERAGE-POLICY-CS | Metadata changed |
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| Sep 30, 2026 | UnitedHealthcare | Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache)PayerPolicy · UHC-COMM-MD-OCCIPITAL-NEURALGIA-HEADACHE-TREATMENT-CS | Metadata changed |
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| Sep 30, 2026 | UnitedHealthcare | Kebilidi (Eladocagene Exuparvovec-Tneq) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-KEBILIDI-CS | Metadata changed |
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| Sep 30, 2026 | UnitedHealthcare | Itvisma (Onasemnogene Abeparvovec-Brve) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ITVISMA-CS | Metadata changed |
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| Sep 30, 2026 | UnitedHealthcare | Infliximab – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-INFLIXIMAB-CS | Metadata changed |
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| Sep 30, 2026 | UnitedHealthcare | Hospital Services: Observation and InpatientPayerPolicy · UHC-COMM-MD-HOSPITAL-SERVICES-OBSERVATION-INPATIENT-CS | Metadata changed |
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| Sep 30, 2026 | UnitedHealthcare | Glaucoma Surgical TreatmentsPayerPolicy · UHC-COMM-MD-GLAUCOMA-SURGICAL-TREATMENTS-CS | Metadata changed |
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| Sep 30, 2026 | UnitedHealthcare | Genetic Testing for Neurological DisordersPayerPolicy · UHC-COMM-MD-GENETIC-TESTING-NEUROMUSCULAR-DISORDERS-CS | Metadata changed |
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| Sep 30, 2026 | UnitedHealthcare | Elevidys (Delandistrogene Moxeparvovec-Rokl) – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-ELEVIDYS-CS | Metadata changed |
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| Sep 30, 2026 | UnitedHealthcare | Electric Tumor Treatment Field TherapyPayerPolicy · UHC-COMM-MD-ELECTRIC-TUMOR-TREATMENT-FIELD-THERAPY-CS | Metadata changed |
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| Sep 30, 2026 | UnitedHealthcare | Denosumab – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-DENOSUMAB-PROLIA-XGEVA-CS | Metadata changed |
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| Sep 30, 2026 | UnitedHealthcare | Complement Pathway Inhibitors – Community Plan Medical Benefit Drug PolicyPayerPolicy · UHC-COMM-MD-COMPLEMENT-INHIBITORS-CS | Metadata changed |
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| Sep 30, 2026 | UnitedHealthcare | Autologous Cellular TherapyPayerPolicy · UHC-COMM-MD-AUTOLOGOUS-CELLULAR-THERAPY-CS | Metadata changed |
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| Sep 30, 2026 | UnitedHealthcare | Transplant Review Guidelines: Hematopoietic Stem Cell Transplantation (for Ohio Only) – Clinical Guideline (Effective Aug. 1, 2026)PayerPolicy · UHC-CG-TRANSPLANT-REVIEW-GUIDELINES-HEMATOPOIETIC-ST-328B86338E | Retired |
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| Sep 30, 2026 | UnitedHealthcare | Chimeric Antigen Receptor T-Cell Therapy (for Ohio Only) – Clinical Guideline (Effective Aug. 1, 2026)PayerPolicy · UHC-CG-CHIMERIC-ANTIGEN-RECEPTOR-T-CELL-THERAPY-FOR-8B29DCAEA4 | Retired |
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| Sep 30, 2026 | Regence BCBS | Topographic Genotyping to Classify Cancer RiskPayerPolicy · REGENCE-GT16 | Retired |
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| Sep 30, 2026 | Regence BCBS | Vertical Expandable Prosthetic Titanium RibPayerPolicy · REGENCE-SUR159 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Varicose Vein TreatmentPayerPolicy · REGENCE-SUR104 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Varicose Vein TreatmentPayerPolicy · REGENCE-SUR104a | New policy |
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| Sep 30, 2026 | Regence BCBS | Uterus TransplantPayerPolicy · REGENCE-TRA19 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Transcutaneous Spinal StimulationPayerPolicy · REGENCE-DME100 | New policy |
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| Sep 30, 2026 | Regence BCBS | Surgical Treatments for GlaucomaPayerPolicy · REGENCE-SUR227 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Surgical Site of Care – Hospital OutpatientPayerPolicy · REGENCE-UM19 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Surgical Site of Care – Hospital OutpatientPayerPolicy · REGENCE-UM19a | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Subacromial Balloon PlacementPayerPolicy · REGENCE-SUR226 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Sphenopalatine Ganglion Block for Headache and PainPayerPolicy · REGENCE-MED160 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Sleep Position TrainerPayerPolicy · REGENCE-DME99 | New policy |
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| Sep 30, 2026 | Regence BCBS | Single-nucleotide Variants (SNVs) to Predict Risk of NonFamilial Breast CancerPayerPolicy · REGENCE-GT23 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Serologic Genetic and Molecular Screening for Colorectal CancerPayerPolicy · REGENCE-GT86 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | RhinoplastyPayerPolicy · REGENCE-SUR12.28a | New policy |
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| Sep 30, 2026 | Regence BCBS | Retinal ProsthesisPayerPolicy · REGENCE-SUR194 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Reduction MammaplastyPayerPolicy · REGENCE-SUR60a | New policy |
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| Sep 30, 2026 | Regence BCBS | Quantitative Sensory TestingPayerPolicy · REGENCE-MED91 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Plugs for Enteric and Anorectal Fistula RepairPayerPolicy · REGENCE-SUR175 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Percutaneous Vertebroplasty, Kyphoplasty, Sacroplasty, and CoccygeoplastyPayerPolicy · REGENCE-SUR107 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Percutaneous Vertebroplasty, Kyphoplasty, Sacroplasty, and CoccygeoplastyPayerPolicy · REGENCE-SUR107a | New policy |
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| Sep 30, 2026 | Regence BCBS | Percutaneous Axial Lumbosacral Interbody Fusion (LIF)PayerPolicy · REGENCE-SUR157 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Pectus Excavatum and Carinatum TreatmentPayerPolicy · REGENCE-SUR12.02 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Multianalyte Assays with Algorithmic Analyses for the Evaluation and Monitoring of Patients with Chronic Liver DiseasePayerPolicy · REGENCE-LAB47 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Measurement of Lipoprotein-Associated Phospholipase A2 Lp-PLA2) in the Assessment of Cardiovascular RiskPayerPolicy · REGENCE-LAB63 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Mastectomy as a Treatment of GynecomastiaPayerPolicy · REGENCE-SUR12.06 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Low-Level Laser TherapyPayerPolicy · REGENCE-MED105 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Low-Level Laser TherapyPayerPolicy · REGENCE-MED105a | New policy |
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| Sep 30, 2026 | Regence BCBS | Long-Term Sub-Scalp Electroencephalography Monitoring SystemsPayerPolicy · REGENCE-SUR239 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Laboratory Tests for Organ Transplant RejectionPayerPolicy · REGENCE-LAB51 | Metadata changed |
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| Sep 30, 2026 | Regence BCBS | Iris ProsthesisPayerPolicy · REGENCE-SUR246 | New policy |
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| Sep 30, 2026 | Regence BCBS | Investigational Gene Expression, Biomarker, and Multianalyte TestingPayerPolicy · REGENCE-LAB77 | Metadata changed |
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