Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Recorded changes
83,427 on record
Recorded policy changes, newest first| Recorded | Payer | Policy | Change |
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| Aug 2, 2026 | Horizon BCBSNJ | Vascular Endothelial Growth Factor Inhibitor and Human Epidermal Growth Factor Receptor InhibitorPayerPolicy · BCBSNJ-DRUGS-036-80375D8679 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | T-Wave AlternansPayerPolicy · BCBSNJ-MEDICINE-010-A91CFDB682 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Colorectal Cancer ScreeningPayerPolicy · BCBSNJ-SURGERY-036-4B45F16D91 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Periureteral Bulking Agents as a Treatment of Vesicoureteral Reflux (VUR)PayerPolicy · BCBSNJ-SURGERY-050-9C04AA3015 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Cytochrome P450 Genotype-Guided Treatment StrategyPayerPolicy · BCBSNJ-MEDICINE-033-FAB64F584F | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Surgical Ventricular RestorationPayerPolicy · BCBSNJ-SURGERY-063-A928082E83 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Radioembolization for Primary and Metastatic Tumors of the LiverPayerPolicy · BCBSNJ-TREATMENT-054-53FA6DA39F | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | ProlotherapyPayerPolicy · BCBSNJ-TREATMENT-063-AA516EDE29 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Post-Mastectomy Reconstructive Breast SurgeryPayerPolicy · BCBSNJ-SURGERY-011-48B25037DE | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Intravesical Transurethral Electrical Bladder Stimulation (ITEBS)PayerPolicy · BCBSNJ-TREATMENT-001-7B82473327 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Partial Left VentriculectomyPayerPolicy · BCBSNJ-SURGERY-007-FEF964B57F | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Speech Therapy in the Home and Outpatient FacilityPayerPolicy · BCBSNJ-ALLIED-HEALTH-010-C92643839C | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Physical Therapy in the Home and Outpatient SettingPayerPolicy · BCBSNJ-ALLIED-HEALTH-011-CBB1A7982A | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Thoracic-Lumbo-Sacral Orthosis with PneumaticsPayerPolicy · BCBSNJ-D-M-E-026-78E4050B48 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Home SpirometryPayerPolicy · BCBSNJ-MEDICINE-027-82C33ED7C8 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | End Diastolic Pneumatic Compression Boot as a Treatment of Peripheral Vascular Disease or LymphedemaPayerPolicy · BCBSNJ-TREATMENT-078-A1FD964D38 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Pneumatic Compression Pumps for Treatment of Lymphedema and Venous UlcersPayerPolicy · BCBSNJ-D-M-E-013-A7247A3481 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Cognitive RehabilitationPayerPolicy · BCBSNJ-ALLIED-HEALTH-009-BAC259D72A | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | BiofeedbackPayerPolicy · BCBSNJ-TREATMENT-060-194EDD6557 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Infliximab (Remicade), infliximab-dyyb (Inflectra), and infliximab-abda (Renflexis), infliximab-qbtx (Ixifi), and infliximab-axxq (Avsola)PayerPolicy · BCBSNJ-DRUGS-017-43C6A62377 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Assistants at SurgeryPayerPolicy · BCBSNJ-SURGERY-002-81853AF635 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Risk-Reducing MastectomyPayerPolicy · BCBSNJ-SURGERY-005-F7394B7A1B | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory DisordersPayerPolicy · BCBSNJ-D-M-E-002-6362CAC71D | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Pelvic Floor Stimulation as a Treatment of Urinary and Fecal Incontinence and Dynamic Rectal Control System as a Treatment of Fecal IncontinencePayerPolicy · BCBSNJ-TREATMENT-024-DF0127088D | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Genetic Testing for BRCA1 or BRCA2 for Hereditary Breast/Ovarian Cancer Syndrome and Other High-Risk CancersPayerPolicy · BCBSNJ-PATHOLOGY-012-8D3D529805 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Hematopoietic Cell Transplantation for Hodgkin LymphomaPayerPolicy · BCBSNJ-TREATMENT-039-2A5FB4C471 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Intravenous Immunoglobulin (IVIG) TherapyPayerPolicy · BCBSNJ-DRUGS-016-DF593DFE5D | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Extracranial Carotid Artery StentingPayerPolicy · BCBSNJ-SURGERY-053-7E09080221 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Thermal Capsulorrhaphy as a Treatment of Joint InstabilityPayerPolicy · BCBSNJ-TREATMENT-031-01628A216F | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Low Intensity Pulsed Ultrasound Fracture Healing DevicePayerPolicy · BCBSNJ-TREATMENT-008-45CE7BEE2E | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Electrical Bone Growth Stimulation of the Appendicular SkeletonPayerPolicy · BCBSNJ-TREATMENT-010-7CDCCAEC71 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Adjustable Cranial Orthoses for Positional Plagiocephaly and CraniosynostosesPayerPolicy · BCBSNJ-D-M-E-008-835C80B02D | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Phototherapy for PsoriasisPayerPolicy · BCBSNJ-TREATMENT-067-9F4D814854 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Nutritional Support (Infant Formulas, Enteral Nutrition and Total Parenteral Nutrition)PayerPolicy · BCBSNJ-TREATMENT-066-6BD08E5A9C | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | BlepharoplastyPayerPolicy · BCBSNJ-SURGERY-024-14F96C0422 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Lung Volume Reduction Surgery for Severe EmphysemaPayerPolicy · BCBSNJ-SURGERY-032-1B979F2BBE | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Extracorporeal PhotopheresisPayerPolicy · BCBSNJ-TREATMENT-057-CC7E32F27E | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Brachytherapy of the Coronary ArteriesPayerPolicy · BCBSNJ-TREATMENT-022-7F69980820 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Placental and Umbilical Cord Blood as a Source of Stem CellsPayerPolicy · BCBSNJ-SURGERY-012-C47F9E5008 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | In Vitro Chemosensitivity and Chemoresistance AssaysPayerPolicy · BCBSNJ-PATHOLOGY-006-897C0A74E6 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Unna BootPayerPolicy · BCBSNJ-SURGERY-029-48671C98AE | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Occupational Therapy in the Home and Outpatient SettingPayerPolicy · BCBSNJ-ALLIED-HEALTH-013-9333E7D14C | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Epithelial Cell Cytology in Breast Cancer Risk Assessment and High-Risk Patient Management (Ductal Lavage and Suction Collection Systems)PayerPolicy · BCBSNJ-MEDICINE-011-2E43F1E4C6 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Definition of Medical EmergencyPayerPolicy · BCBSNJ-INTRODUCTION-005-1A02A12057 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | ChemonucleolysisPayerPolicy · BCBSNJ-TREATMENT-076-F00483A396 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Gastric Electrical StimulationPayerPolicy · BCBSNJ-TREATMENT-030-B7B3CAEB78 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Erythropoietin Therapy: Epoetin Alfa, Darbepoetin Alfa, Pegylated (PEG)-epoetin Beta, and Epoetin Alfa-epbxPayerPolicy · BCBSNJ-DRUGS-021-2A1DE5531B | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Hematopoietic Cell Transplantation for Non-Hodgkin LymphomasPayerPolicy · BCBSNJ-TREATMENT-040-5AE9E1BE8A | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Chelation Therapy for Off-Label UsesPayerPolicy · BCBSNJ-MEDICINE-022-4080FE2452 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Plasma ExchangePayerPolicy · BCBSNJ-TREATMENT-056-7F3A163D6A | New policy |
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