| Sep 30, 2026 | Humana | Computed Tomography Angiography (CTA) of the Abdominal AortaPayerPolicy · HUMANA-COMPUTED-TOMOGRAPHY-ANGIOGRAPHY-CTA-OF-THE-ABDOMINAL-AORTA-MA | Metadata changed |
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| Sep 30, 2026 | Humana | Blepharoplasty, Blepharoptosis Repair and Brow LiftPayerPolicy · HUMANA-BLEPHAROPLASTY-BLEPHAROPTOSIS-REPAIR-AND-BROW-LIFT-MA | Metadata changed |
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| Sep 30, 2026 | Humana | Benign Prostatic Hyperplasia TreatmentsPayerPolicy · HUMANA-BENIGN-PROSTATIC-HYPERPLASIA-TREATMENTS-MA | Metadata changed |
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| Sep 30, 2026 | Humana | Ambulatory Cardiac Monitoring DevicesPayerPolicy · HUMANA-AMBULATORY-CARDIAC-MONITORING-DEVICES-MA | Metadata changed |
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| Sep 30, 2026 | Humana | Advanced Imaging of the Head and NeckPayerPolicy · HUMANA-ADVANCED-IMAGING-OF-THE-HEAD-AND-NECK-MA | Metadata changed |
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| Sep 30, 2026 | Humana | Genetic Testing for Diagnosis of Inherited ConditionsPayerPolicy · HUMANA-GENETIC-TESTING-FOR-DIAGNOSIS-OF-INHERITED-CONDITIONS-OK-MEDICAID | New policy |
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| Sep 30, 2026 | Humana | Genetic Testing for Diagnosis of Inherited ConditionsPayerPolicy · HUMANA-GENETIC-TESTING-FOR-DIAGNOSIS-OF-INHERITED-CONDITIONS-FL-MEDICAID | Metadata changed |
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| Sep 30, 2026 | Humana | Cardiac Stress TestingPayerPolicy · HUMANA-CARDIAC-STRESS-TESTING-FL-MEDICAID | New policy |
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| Sep 30, 2026 | Humana | Genomic and Molecular Biomarker Testing for CancerPayerPolicy · HUMANA-GENOMIC-AND-MOLECULAR-BIOMARKER-TESTING-FOR-CANCER-FL-MEDICAID | Metadata changed |
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| Sep 30, 2026 | Humana | Cutaneous Vascular Lesion RemovalPayerPolicy · HUMANA-CUTANEOUS-VASCULAR-LESION-REMOVAL-KY-MEDICAID | New policy |
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| Sep 30, 2026 | Humana | Applied Behavior AnalysisPayerPolicy · HUMANA-APPLIED-BEHAVIOR-ANALYSIS-OK-MEDICAID | New policy |
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| Sep 30, 2026 | Humana | Genomic and Molecular Biomarker Testing for CancerPayerPolicy · HUMANA-GENOMIC-AND-MOLECULAR-BIOMARKER-TESTING-FOR-CANCER-SC-MEDICAID | Metadata changed |
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| Sep 30, 2026 | Humana | Genomic and Molecular Biomarker Testing for CancerPayerPolicy · HUMANA-GENOMIC-AND-MOLECULAR-BIOMARKER-TESTING-FOR-CANCER-MI-MEDICAID | New policy |
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| Sep 30, 2026 | Humana | Genomic and Molecular Biomarker Testing for CancerPayerPolicy · HUMANA-GENOMIC-AND-MOLECULAR-BIOMARKER-TESTING-FOR-CANCER-IN-MEDICAID | Metadata changed |
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| Sep 30, 2026 | Humana | Genetic Testing for Diagnosis of Inherited ConditionsPayerPolicy · HUMANA-GENETIC-TESTING-FOR-DIAGNOSIS-OF-INHERITED-CONDITIONS-KY-MEDICAID | Metadata changed |
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| Sep 30, 2026 | Humana | Gene Expression Profiling for Cancer IndicationsPayerPolicy · HUMANA-GENE-EXPRESSION-PROFILING-FOR-CANCER-INDICATIONS-SC-MEDICAID | Metadata changed |
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| Sep 30, 2026 | Humana | Gene Expression Profiling for Cancer IndicationsPayerPolicy · HUMANA-GENE-EXPRESSION-PROFILING-FOR-CANCER-INDICATIONS-MI-MEDICAID | Metadata changed |
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| Sep 30, 2026 | Humana | Gene Expression Profiling for Cancer IndicationsPayerPolicy · HUMANA-GENE-EXPRESSION-PROFILING-FOR-CANCER-INDICATIONS-IN-MEDICAID | Metadata changed |
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| Sep 30, 2026 | Humana | Cochlear ImplantPayerPolicy · HUMANA-COCHLEAR-IMPLANT-LA-MEDICAID | Metadata changed |
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| Sep 30, 2026 | Humana | Applied Behavior AnalysisPayerPolicy · HUMANA-APPLIED-BEHAVIOR-ANALYSIS-SC-MEDICAID | New policy |
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| Sep 30, 2026 | Humana | Ablation (Cancer and Noncancer Indications)PayerPolicy · HUMANA-ABLATION-CANCER-AND-NONCANCER-INDICATIONS-FL-MEDICAID | New policy |
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| Sep 30, 2026 | Humana | Irreversible ElectroporationPayerPolicy · HUMANA-IRREVERSIBLE-ELECTROPORATION-MA-FUTURE | New policy |
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| Sep 30, 2026 | Humana | Interspinous Process Decompression SpacersPayerPolicy · HUMANA-INTERSPINOUS-PROCESS-DECOMPRESSION-SPACERS-MA-FUTURE | New policy |
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| Sep 30, 2026 | Humana | Hyperthermia and Ultrasound Based Ablative Cancer TreatmentsPayerPolicy · HUMANA-HYPERTHERMIA-AND-ULTRASOUND-BASED-ABLATIVE-CANCER-TREATMENTS-MA-FUTURE | New policy |
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| Sep 30, 2026 | Humana | Hematopoietic Stem Cell TransplantationPayerPolicy · HUMANA-HEMATOPOIETIC-STEM-CELL-TRANSPLANTATION-MA-FUTURE | New policy |
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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-FUTURE | New policy |
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| Sep 30, 2026 | Humana | Gene Expression Profiling for Cancer IndicationsPayerPolicy · HUMANA-GENE-EXPRESSION-PROFILING-FOR-CANCER-INDICATIONS-MA-FUTURE | New policy |
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| Sep 30, 2026 | Humana | Elective Aorta and Iliac Artery Aneurysm RepairPayerPolicy · HUMANA-ELECTIVE-AORTA-AND-ILIAC-ARTERY-ANEURYSM-REPAIR-MA-FUTURE | New policy |
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| Sep 30, 2026 | Humana | Diagnostic and Therapeutic Esophagogastroduodenoscopy or EsophagoscopyPayerPolicy · HUMANA-DIAGNOSTIC-AND-THERAPEUTIC-ESOPHAGOGASTRODUODENOSCOPY-OR-ESOPHAGOSCOPY-MA-FUTURE | New policy |
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| Sep 30, 2026 | Humana | Cosmetic and Reconstructive SurgeryPayerPolicy · HUMANA-COSMETIC-AND-RECONSTRUCTIVE-SURGERY-MA-FUTURE | New policy |
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| Sep 30, 2026 | Humana | Carpal Tunnel Syndrome Surgical TreatmentsPayerPolicy · HUMANA-CARPAL-TUNNEL-SYNDROME-SURGICAL-TREATMENTS-MA-FUTURE | New policy |
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| Sep 30, 2026 | Humana | Cardiac Magnetic Resonance ImagingPayerPolicy · HUMANA-CARDIAC-MAGNETIC-RESONANCE-IMAGING-MA | New policy |
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| Sep 30, 2026 | Humana | Brain Stimulation TreatmentsPayerPolicy · HUMANA-BRAIN-STIMULATION-TREATMENTS-MA-FUTURE | New policy |
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| Sep 30, 2026 | Humana | Brain Functional Magnetic Resonance ImagingPayerPolicy · HUMANA-BRAIN-FUNCTIONAL-MAGNETIC-RESONANCE-IMAGING-MA | New policy |
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| Sep 30, 2026 | Humana | BrachytherapyPayerPolicy · HUMANA-BRACHYTHERAPY-MA-FUTURE | New policy |
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| Sep 30, 2026 | Humana | Bariatric SurgeryPayerPolicy · HUMANA-BARIATRIC-SURGERY-MA-FUTURE | New policy |
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| Sep 30, 2026 | Blue Shield of California | Transurethral Water Vapor Thermal Therapy and Transurethral Water Jet Ablation (Aquablation) for Benign Prostatic HypertrophyPayerPolicy · BSCA-Transurethral-H2O-Vapor-Thermal-Therapy-Benign-Prostatic-Hypertrophy | Retired |
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| Sep 30, 2026 | Blue Shield of California | Sacral Nerve Neuromodulation/StimulationPayerPolicy · BSCA-Sacral-Nerve-Neuromodulation-Stimulation | Retired |
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| Sep 30, 2026 | Blue Shield of California | Reconstructive ServicesPayerPolicy · BSCA-Reconstructive-Services | Retired |
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| Sep 30, 2026 | Blue Shield of California | Place of Service Policy for Outpatient ProceduresPayerPolicy · BSCA-Place-of-Service-Policy-Outpatient-Procedures | Retired |
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| Sep 30, 2026 | Blue Shield of California | Percutaneous Electrical Nerve Field Stimulation for Irritable Bowel SyndromePayerPolicy · BSCA-Perc-Electrical-Nerve-Field-Stim-Irritable-Bowel-Syndrome | Retired |
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| Sep 30, 2026 | Blue Shield of California | Catheter Ablation for Cardiac ArrhythmiasPayerPolicy · BSCA-Catheter-Ablation-Cardiac-Arrythmias | Retired |
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| Sep 30, 2026 | Blue Shield of California | Transurethral Water Vapor Thermal Therapy and Transurethral Water Jet Ablation (Aquablation) for Benign Prostatic HyperplasiaPayerPolicy · BSCA-Transurethral-H2O-Vapor-Thermal-Therapy-Aquablation-Prostatic-Hyperplasia | New policy |
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| Sep 30, 2026 | Blue Shield of California | Sacroiliac Joint InjectionsPayerPolicy · BSCA-Sacroiliac-Joint-Injections | Metadata changed |
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| Sep 30, 2026 | Blue Shield of California | Percutaneous Electrical Nerve Field Stimulation for Disorders of Gut-Brain InteractionPayerPolicy · BSCA-Perc-Electrical-Nerve-Field-Stim-Gut-Brain-Interaction | New policy |
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| Sep 30, 2026 | Blue Shield of California | Maternal Serum Testing for Prediction of Adverse Obstetric OutcomesPayerPolicy · BSCA-Maternal-Serum-Biomarkers-Prediction-Adverse-Obstetric-Outcomes | Metadata changed |
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| Sep 30, 2026 | Blue Shield of California | Investigational ServicesPayerPolicy · BSCA-Investigational-Services | Metadata changed |
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| Sep 30, 2026 | Blue Shield of California | Cosmetic and Reconstructive ProceduresPayerPolicy · BSCA-Cosmetic-Reconstructive-Procedures | New policy |
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| Sep 30, 2026 | Cigna | Redundant Skin SurgeryPayerPolicy · CIGNA-0470-FUTURE | Retired |
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| Sep 30, 2026 | Cigna | Nucleic Acid Pathogen TestingPayerPolicy · CIGNA-0530-FUTURE | Retired |
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