Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
82,244 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
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| Sep 30, 2026 | AmeriHealth | Care Management and Care Planning ServicesPayerPolicy · AMERIHEALTH-COMMERCIAL-00-01-59 | New policy |
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| Sep 30, 2026 | AmeriHealth | Bioimpedance for the Detection of LymphedemaPayerPolicy · AMERIHEALTH-COMMERCIAL-07-06-03 | New policy |
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| Sep 30, 2026 | AmeriHealth | Atezolizumab (Tecentriq) and Atezolizumab with Hyaluronidase-tqjs (Tecentriq Hybreza)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-69 | New policy |
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| Sep 30, 2026 | AmeriHealth | Assays of Genetic Expression in Tumor Tissue for Breast Cancer Prognosis (AmeriHealth Administrators)PayerPolicy · AMERIHEALTH-COMMERCIAL-06-02-27 | New policy |
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| Sep 30, 2026 | AmeriHealth | Aqueous Shunts, Minimally Invasive Glaucoma Surgeries (including Microstents), Viscocanalostomy, and Canaloplasty for the Treatment of GlaucomaPayerPolicy · AMERIHEALTH-COMMERCIAL-11-05-16 | New policy |
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| Sep 30, 2026 | AmeriHealth | Alemtuzumab (Lemtrada)PayerPolicy · AMERIHEALTH-COMMERCIAL-08-01-22 | New policy |
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| Sep 30, 2026 | AmeriHealth | Acute Care Facility Inpatient TransfersPayerPolicy · AMERIHEALTH-COMMERCIAL-12-04-04 | New policy |
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| Sep 30, 2026 | Humana | Ventricular Assist Device, Total Artificial HeartPayerPolicy · HUMANA-VENTRICULAR-ASSIST-DEVICE-TOTAL-ARTIFICIAL-HEART-MA-EFF-20260803 | Retired |
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| Sep 30, 2026 | Humana | Ventricular Assist Device, Total Artificial HeartPayerPolicy · HUMANA-VENTRICULAR-ASSIST-DEVICE-TOTAL-ARTIFICIAL-HEART-MA-EFF-20250801 | Retired |
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| Sep 30, 2026 | Humana | Transcatheter and Device-Based Hemodynamic Management ProceduresPayerPolicy · HUMANA-TRANSCATHETER-AND-DEVICE-BASED-HEMODYNAMIC-MANAGEMENT-PROCEDURES-MA-EFF-20260803 | Retired |
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| Sep 30, 2026 | Humana | Transcatheter and Device-Based Hemodynamic Management ProceduresPayerPolicy · HUMANA-TRANSCATHETER-AND-DEVICE-BASED-HEMODYNAMIC-MANAGEMENT-PROCEDURES-MA-EFF-20260501 | Retired |
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| Sep 30, 2026 | Humana | Thyroid Surgeries (Thyroidectomy & Lobectomy)PayerPolicy · HUMANA-THYROID-SURGERIES-THYROIDECTOMY-LOBECTOMY-MA | Retired |
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| Sep 30, 2026 | Humana | Superficial Radiation TherapyPayerPolicy · HUMANA-SUPERFICIAL-RADIATION-THERAPY-MA-EFF-20260803 | Retired |
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| Sep 30, 2026 | Humana | Superficial Radiation TherapyPayerPolicy · HUMANA-SUPERFICIAL-RADIATION-THERAPY-MA-EFF-20260310 | Retired |
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| Sep 30, 2026 | Humana | Shoulder ArthroplastyPayerPolicy · HUMANA-SHOULDER-ARTHROPLASTY-MA-EFF-20260803 | Retired |
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| Sep 30, 2026 | Humana | Shoulder ArthroplastyPayerPolicy · HUMANA-SHOULDER-ARTHROPLASTY-MA-EFF-20250801 | Retired |
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| Sep 30, 2026 | Humana | Rheumatoid Arthritis: Biologic Markers and Pharmacologic AssessmentPayerPolicy · HUMANA-RHEUMATOID-ARTHRITIS-BIOLOGIC-MARKERS-AND-PHARMACOLOGIC-ASSESSMENT-MA | Retired |
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| Sep 30, 2026 | Humana | Pharmacogenomics TestingPayerPolicy · HUMANA-PHARMACOGENOMICS-TESTING-MA-EFF-20260803 | Retired |
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| Sep 30, 2026 | Humana | Pharmacogenomics TestingPayerPolicy · HUMANA-PHARMACOGENOMICS-TESTING-MA-EFF-20251201 | Retired |
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| Sep 30, 2026 | Humana | Peripheral Nerve StimulatorsPayerPolicy · HUMANA-PERIPHERAL-NERVE-STIMULATORS-MA-EFF-20260803 | Retired |
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| Sep 30, 2026 | Humana | Peripheral Nerve StimulatorsPayerPolicy · HUMANA-PERIPHERAL-NERVE-STIMULATORS-MA-EFF-20260302 | Retired |
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| Sep 30, 2026 | Humana | Percutaneous Coronary InterventionPayerPolicy · HUMANA-PERCUTANEOUS-CORONARY-INTERVENTION-MA-EFF-20260803 | Retired |
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| Sep 30, 2026 | Humana | Percutaneous Coronary InterventionPayerPolicy · HUMANA-PERCUTANEOUS-CORONARY-INTERVENTION-MA-EFF-20260202 | Retired |
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| Sep 30, 2026 | Humana | Outpatient Rehabilitation (Skilled Therapy)PayerPolicy · HUMANA-OUTPATIENT-REHABILITATION-SKILLED-THERAPY-MA | Retired |
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| Sep 30, 2026 | Humana | OrthoticsPayerPolicy · HUMANA-ORTHOTICS-MA-EFF-20260803 | Retired |
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| Sep 30, 2026 | Humana | OrthoticsPayerPolicy · HUMANA-ORTHOTICS-MA-EFF-20251001 | Retired |
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| Sep 30, 2026 | Humana | Nerve Stimulation for Urinary IncontinencePayerPolicy · HUMANA-NERVE-STIMULATION-FOR-URINARY-INCONTINENCE-MA | Retired |
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| Sep 30, 2026 | Humana | Negative Pressure Wound TherapyPayerPolicy · HUMANA-NEGATIVE-PRESSURE-WOUND-THERAPY-MA-EFF-20260803 | Retired |
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| Sep 30, 2026 | Humana | Negative Pressure Wound TherapyPayerPolicy · HUMANA-NEGATIVE-PRESSURE-WOUND-THERAPY-MA-EFF-20260501 | Retired |
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| Sep 30, 2026 | Humana | Molecular Diagnostic Assays and Breath Testing for Transplant RejectionPayerPolicy · HUMANA-MOLECULAR-DIAGNOSTIC-ASSAYS-AND-BREATH-TESTING-FOR-TRANSPLANT-REJECTION-MA | Retired |
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| Sep 30, 2026 | Humana | Mobility Assistive Devices (Wheelchairs)PayerPolicy · HUMANA-MOBILITY-ASSISTIVE-DEVICES-WHEELCHAIRS-FL-MEDICAID | Retired |
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| Sep 30, 2026 | Humana | Liquid BiopsyPayerPolicy · HUMANA-LIQUID-BIOPSY-MA-EFF-20260803 | Retired |
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| Sep 30, 2026 | Humana | Liquid BiopsyPayerPolicy · HUMANA-LIQUID-BIOPSY-MA-EFF-20260701 | Retired |
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| Sep 30, 2026 | Humana | Injections for Chronic Pain ConditionsPayerPolicy · HUMANA-INJECTIONS-FOR-CHRONIC-PAIN-CONDITIONS-MA-EFF-20260803 | Retired |
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| Sep 30, 2026 | Humana | Injections for Chronic Pain ConditionsPayerPolicy · HUMANA-INJECTIONS-FOR-CHRONIC-PAIN-CONDITIONS-MA-EFF-20260202 | Retired |
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| Sep 30, 2026 | Humana | Genetic Testing for Hereditary CancerPayerPolicy · HUMANA-GENETIC-TESTING-FOR-HEREDITARY-CANCER-MA-EFF-20260803 | Retired |
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| Sep 30, 2026 | Humana | Genetic Testing for Hereditary CancerPayerPolicy · HUMANA-GENETIC-TESTING-FOR-HEREDITARY-CANCER-MA-EFF-20260501 | Retired |
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| Sep 30, 2026 | Humana | Genetic Testing for Hereditary Breast, Ovarian, Pancreatic and Prostate CancerPayerPolicy · HUMANA-GENETIC-TESTING-FOR-HEREDITARY-BREAST-OVARIAN-PANCREATIC-AND-PROSTATE-CANCER-MA-EFF-20250902 | Retired |
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| Sep 30, 2026 | Humana | Genetic and Biomarker Testing for Neurodegenerative DiseasePayerPolicy · HUMANA-GENETIC-AND-BIOMARKER-TESTING-FOR-NEURODEGENERATIVE-DISEASE-MA-EFF-20260803 | Retired |
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| Sep 30, 2026 | Humana | Genetic and Biomarker Testing for Neurodegenerative DiseasePayerPolicy · HUMANA-GENETIC-AND-BIOMARKER-TESTING-FOR-NEURODEGENERATIVE-DISEASE-MA-EFF-20260601 | Retired |
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| Sep 30, 2026 | Humana | Auryxia (ferric citrate)PayerPolicy · HUMANA-AURYXIA-FERRIC-CITRATE | Retired |
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| Sep 30, 2026 | Humana | CryoablationPayerPolicy · HUMANA-CRYOABLATION-MA-EFF-20250801 | Retired |
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| Sep 30, 2026 | Humana | Cardiac Electrophysiological Studies and Cardiac Catheter AblationPayerPolicy · HUMANA-CARDIAC-ELECTROPHYSIOLOGICAL-STUDIES-AND-CARDIAC-CATHETER-ABLATION-MA-EFF-20250801 | Retired |
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| Sep 30, 2026 | Humana | Amtagvi (lifileucel)PayerPolicy · HUMANA-AMTAGVI-LIFILEUCEL-MA-EFF-20250801 | Retired |
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| Sep 30, 2026 | Humana | Chimeric Antigen Receptor (CAR) T-cell TherapyPayerPolicy · HUMANA-CHIMERIC-ANTIGEN-RECEPTOR-CAR-T-CELL-THERAPY-MA-EFF-20250902 | Retired |
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| Sep 30, 2026 | Humana | Gene Expression Profiling for Noncancer IndicationsPayerPolicy · HUMANA-GENE-EXPRESSION-PROFILING-FOR-NONCANCER-INDICATIONS-MA-EFF-20251103 | Retired |
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| Sep 30, 2026 | Humana | Functional Electrical Stimulators (Non-Pain)PayerPolicy · HUMANA-FUNCTIONAL-ELECTRICAL-STIMULATORS-NON-PAIN-MA-EFF-20251103 | Retired |
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| Sep 30, 2026 | Humana | Brain Stimulation TreatmentsPayerPolicy · HUMANA-BRAIN-STIMULATION-TREATMENTS-MA | Retired |
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| Sep 30, 2026 | Humana | Breast ReconstructionPayerPolicy · HUMANA-BREAST-RECONSTRUCTION-MA-EFF-20251111 | Retired |
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| Sep 30, 2026 | Humana | Carpal Tunnel Syndrome Surgical TreatmentsPayerPolicy · HUMANA-CARPAL-TUNNEL-SYNDROME-SURGICAL-TREATMENTS-MA-EFF-20260202 | Retired |
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