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 | Hemophilia Products – Congenital Factor XIII A-Subunit Deficiency: TrettenPayerPolicy · BCBSNJ-DRUGS-172-FFF2466D5F | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Hemophilia Products - Factor X: CoagadexPayerPolicy · BCBSNJ-DRUGS-171-D43CFD8E5C | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Hemophilia Products - Factor VIII (Hemophilia A) and Factor IX (Hemophilia B) with Inhibitors: Feiba NFPayerPolicy · BCBSNJ-DRUGS-170-69F2945E23 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Hemophilia Products - Congenital Factor VIII (Hemophilia A) with or without inhibitors: HemlibraPayerPolicy · BCBSNJ-DRUGS-169-7E9FCDD462 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Hemophilia Products – Factor VIII (Hemophilia A, Congenital and Acquired): Advate, Adynovate, Afstyla, Eloctate, Helixate FS, Hemofil M, Koate-DVI, Kogenate FS, Kovaltry, Monoclate-P, Novoeight, NUWIQ, Recombinate, Xyntha, Obizur, Jivi and EsperoctPayerPolicy · BCBSNJ-DRUGS-168-FAD617C1CB | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Hemophilia Products - Factor VIII (Hemophilia A) and Von Willebrand disease (VWD): Alphanate, Humate-P, and WilatePayerPolicy · BCBSNJ-DRUGS-167-0AD81A4A4E | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Hemophilia Products – Factor IX (Hemophilia B): Alphanine SD, Alprolix, Bebulin, Benefix, Idelvion, Ixinity, Mononine, Profilnine, Rebinyn, and RixubisPayerPolicy · BCBSNJ-DRUGS-166-E2C66D26FF | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Allergen ImmunotherapyPayerPolicy · BCBSNJ-MEDICINE-083-52FA82B449 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Serologic Genetic and Molecular Screening for Colorectal CancerPayerPolicy · BCBSNJ-PATHOLOGY-142-A160CE556B | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Prescription Digital Therapeutics for Substance AbusePayerPolicy · BCBSNJ-TREATMENT-164-70CAB92879 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | UCB-Type Berkeley Shell Custom-Made Foot OrthoticPayerPolicy · BCBSNJ-D-M-E-051-B929AE7CAE | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Genetic Testing for Hereditary Pancreatic CancerPayerPolicy · BCBSNJ-PATHOLOGY-141-568B9C05F7 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Radiofrequency Coblation Tenotomy for Musculoskeletal ConditionsPayerPolicy · BCBSNJ-TREATMENT-163-65DACE2492 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Radiation Therapy for Vulvar CancerPayerPolicy · BCBSNJ-RADIOLOGY-183-8B7EA933F0 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Radiation Therapy for Small Cell Lung CancerPayerPolicy · BCBSNJ-RADIOLOGY-182-E2623C8A5F | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Transurethral Water Vapor Thermal Therapy for Benign Prostatic HyperplasiaPayerPolicy · BCBSNJ-SURGERY-171-611FC5C5E9 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Phrenic Nerve Stimulation for Central Sleep ApneaPayerPolicy · BCBSNJ-SURGERY-170-725131E331 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | General Guideline for the Delineation of Medical vs. Dental and Accidental Dental BenefitsPayerPolicy · BCBSNJ-INTRODUCTION-012-041FD3FBE9 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Placement of Iliac Vein StentPayerPolicy · BCBSNJ-SURGERY-169-7B728B07FC | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | General Guideline for Advanced Imaging StudiesPayerPolicy · BCBSNJ-INTRODUCTION-011-9E93CF0C83 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Radiation Therapy for Thymoma and Thymic CancerPayerPolicy · BCBSNJ-RADIOLOGY-180-D96333FB67 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Radiation Therapy for Multiple Myeloma and Solitary PlasmacytomasPayerPolicy · BCBSNJ-RADIOLOGY-179-F772BEFCC6 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Radiation Therapy for Anal Canal CancerPayerPolicy · BCBSNJ-RADIOLOGY-178-EFC9B04086 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Noninvasive Electroencephalography (EEG)PayerPolicy · BCBSNJ-MEDICINE-091-2EC01F477A | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Absorbable Nasal Implant for Treatment of Nasal Valve CollapsePayerPolicy · BCBSNJ-SURGERY-168-764074783B | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Next-Generation Sequencing for the Assessment of Measurable Residual DiseasePayerPolicy · BCBSNJ-PATHOLOGY-140-11F1BCE0E2 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Surgical Treatments for Breast Cancer-Related LymphedemaPayerPolicy · BCBSNJ-SURGERY-167-FF7F6C8FE8 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Molecular Gastrointestinal Pathogen Panel (GIPP) TestingPayerPolicy · BCBSNJ-PATHOLOGY-138-F7E357BE76 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Gene Expression Profiling for Cutaneous MelanomaPayerPolicy · BCBSNJ-PATHOLOGY-137-34D4BBB9BD | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Balloon Dilation of the Eustachian TubePayerPolicy · BCBSNJ-SURGERY-165-C747C6FB51 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Synthetic Cartilage Implants for Joint PainPayerPolicy · BCBSNJ-SURGERY-163-FBE36601F4 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Circulating Tumor DNA for Management of Non-Small-Cell-Lung Cancer (Liquid Biopsy)PayerPolicy · BCBSNJ-PATHOLOGY-136-08E0188388 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Chiropractic Review PolicyPayerPolicy · BCBSNJ-TREATMENT-162-E8CD97D082 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Foot Care ServicesPayerPolicy · BCBSNJ-SURGERY-162-BE893435EA | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Visual-Evoked Potential (VEP)/Visual-Evoked Response (VER)PayerPolicy · BCBSNJ-MEDICINE-090-F78198D024 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Sphenopalatine Ganglion Block for HeadachePayerPolicy · BCBSNJ-TREATMENT-161-B89C8803F3 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Molecular Testing in the Management of Pulmonary NodulesPayerPolicy · BCBSNJ-PATHOLOGY-135-5A3062E199 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Axial Lumbosacral Interbody FusionPayerPolicy · BCBSNJ-SURGERY-161-7720958C82 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Vestibular Function TestingPayerPolicy · BCBSNJ-MEDICINE-089-733B3C3A25 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Leadless Cardiac PacemakerPayerPolicy · BCBSNJ-SURGERY-160-CE7D7BECBD | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Orthognathic SurgeryPayerPolicy · BCBSNJ-SURGERY-159-0517DCEC21 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Coronary Computed Tomography Angiography With Selective Noninvasive Fractional Flow ReservePayerPolicy · BCBSNJ-RADIOLOGY-176-897A1045ED | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Functional Endoscopic Sinus Surgery for Chronic RhinosinusitisPayerPolicy · BCBSNJ-SURGERY-158-A89355C07E | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Gait Trainers and Standing FramesPayerPolicy · BCBSNJ-D-M-E-050-C2C29C51DD | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Percutaneous Balloon Kyphoplasty, Radiofrequency Kyphoplasty, and Mechanical Vertebral AugmentationPayerPolicy · BCBSNJ-TREATMENT-160-C908428009 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Pediatric Intensive Feeding ProgramsPayerPolicy · BCBSNJ-TREATMENT-159-0AD8C9E786 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Radiation Therapy for Urethral Cancer and Upper Genitourinary Tract TumorsPayerPolicy · BCBSNJ-RADIOLOGY-175-F7F65D93F7 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Radiation Therapy for Testicular CancerPayerPolicy · BCBSNJ-RADIOLOGY-174-7D11FE80A7 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Radiation Therapy for Kidney and Adrenal CancerPayerPolicy · BCBSNJ-RADIOLOGY-173-935DB8FAAB | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Radiation Therapy for Hepatobiliary CancerPayerPolicy · BCBSNJ-RADIOLOGY-172-65ABE90322 | New policy |
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