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 | Liver Transplant and Combined Liver-Kidney TransplantPayerPolicy · BCBSNJ-SURGERY-097-40877B7B22 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Small Bowel/Liver and Multivisceral TransplantPayerPolicy · BCBSNJ-SURGERY-096-CBBBB79BEB | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Isolated Small Bowel TransplantPayerPolicy · BCBSNJ-SURGERY-095-1BDEC0B62F | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Ultrafiltration in Decompensated Heart FailurePayerPolicy · BCBSNJ-MEDICINE-043-0BB28EDA61 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Arthroscopic Debridement and Lavage as Treatment for Osteoarthritis of the KneePayerPolicy · BCBSNJ-SURGERY-093-374C68607E | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Greater Occipital Nerve BlockPayerPolicy · BCBSNJ-TREATMENT-116-57F9083513 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | DiscographyPayerPolicy · BCBSNJ-RADIOLOGY-056-2E105F4C37 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Novel Biomarkers in Risk Assessment and Management of Cardiovascular DiseasePayerPolicy · BCBSNJ-PATHOLOGY-032-27EAE6F167 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Homocysteine Testing in the Screening, Diagnosis, and Management of Cardiovascular Disease and Venous Thromboembolic DiseasePayerPolicy · BCBSNJ-PATHOLOGY-031-A6C25CEACB | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Islet TransplantationPayerPolicy · BCBSNJ-SURGERY-091-E0FFD59AC8 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Allogeneic Pancreas TransplantPayerPolicy · BCBSNJ-SURGERY-088-7BF9BAE535 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Kidney TransplantPayerPolicy · BCBSNJ-SURGERY-087-930D930734 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Lysis of Epidural AdhesionsPayerPolicy · BCBSNJ-TREATMENT-111-9C11A8DA4B | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Sacroiliac Joint InjectionsPayerPolicy · BCBSNJ-TREATMENT-108-03CF308D68 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Trigger Point InjectionsPayerPolicy · BCBSNJ-TREATMENT-107-F2D58523CF | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Anesthesia Care During Interventional Pain Management ProceduresPayerPolicy · BCBSNJ-SURGERY-086-0CDC8E0EE6 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Cryosurgical Ablation of Miscellaneous Solid Tumors Other Than Liver, Prostate, or Dermatologic TumorsPayerPolicy · BCBSNJ-SURGERY-085-521A352912 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Cryosurgical Ablation of Primary or Metastatic Liver TumorsPayerPolicy · BCBSNJ-SURGERY-084-78B81868AB | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Laparoscopic and Percutaneous Techniques for the Myolysis of Uterine FibroidsPayerPolicy · BCBSNJ-SURGERY-081-561D46A752 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver TumorsPayerPolicy · BCBSNJ-SURGERY-080-B5D4303CB5 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Radiofrequency Ablation of Primary or Metastatic Liver TumorsPayerPolicy · BCBSNJ-SURGERY-079-C0F3BC9F17 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Total Ankle Replacement (Arthroplasty)PayerPolicy · BCBSNJ-SURGERY-078-22240D971A | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Molecular Testing for the Management of Pancreatic Cysts, Barrett Esophagus, and Solid Pancreatic LesionsPayerPolicy · BCBSNJ-PATHOLOGY-021-47EACAF27A | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Computer-Assisted Navigation for Orthopedic ProcedurePayerPolicy · BCBSNJ-SURGERY-075-C1C17222CC | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Microprocessor-Controlled Prostheses for the Lower LimbPayerPolicy · BCBSNJ-D-M-E-031-0B76979F36 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Genotype-Guided Warfarin DosingPayerPolicy · BCBSNJ-MEDICINE-039-F8B834CAFF | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Genotype-Guided Tamoxifen TreatmentPayerPolicy · BCBSNJ-MEDICINE-038-702C56D6BF | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | VitiligoPayerPolicy · BCBSNJ-MEDICINE-037-837A5C35C8 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Speech Generating DevicesPayerPolicy · BCBSNJ-D-M-E-030-00F391F214 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Implantable Bone-Conduction and Bone-Anchored Hearing AidsPayerPolicy · BCBSNJ-D-M-E-029-0BC13EFEDF | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Artificial Intervertebral Disc: Cervical SpinePayerPolicy · BCBSNJ-SURGERY-072-AE11F713C7 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Open and Thoracoscopic Approaches to Treat Atrial Fibrillation and Atrial Flutter (Maze and Related Procedures)PayerPolicy · BCBSNJ-SURGERY-071-31CC399896 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Hyperthermic Intraperitoneal Chemotherapy for Select Intra-Abdominal and Pelvic MalignanciesPayerPolicy · BCBSNJ-MEDICINE-035-B284EADE10 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Hip ResurfacingPayerPolicy · BCBSNJ-SURGERY-068-A850552D86 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Mechanical Stretching Devices for Limited Jaw MobilityPayerPolicy · BCBSNJ-D-M-E-028-A188EC9F0B | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Radiation Therapy for Skin Cancer - Basal Cell and Squamous CellPayerPolicy · BCBSNJ-RADIOLOGY-186-0668748D5E | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Radiation Therapy - XofigoPayerPolicy · BCBSNJ-RADIOLOGY-185-6D6231E434 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Radiation Therapy for Skin Cancer - MelanomaPayerPolicy · BCBSNJ-RADIOLOGY-184-7FC14E8F50 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Ultrasonic Guidance for Knee Joint Injection or AspirationPayerPolicy · BCBSNJ-RADIOLOGY-181-62876B5F34 | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Adult Breast ImagingPayerPolicy · BCBSNJ-RADIOLOGY-177-967B592C8B | New policy |
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| Aug 2, 2026 | Horizon BCBSNJ | Arthroscopy for Treatment of Knee DerangementPayerPolicy · BCBSNJ-SURGERY-164-7398404303 | New policy |
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| Aug 2, 2026 | Highmark Wholecare | ZyntegloPayerPolicy · HIGHMARK_WHOLECARE-MEDICATION-ZYNTEGLO | New policy |
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| Aug 2, 2026 | Highmark Wholecare | ZeposiaPayerPolicy · HIGHMARK_WHOLECARE-MEDICATION-ZEPOSIA | New policy |
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| Aug 2, 2026 | Highmark Wholecare | Xyrem, Xywav, and LumryzPayerPolicy · HIGHMARK_WHOLECARE-MEDICATION-XYREM-XYWAV-AND-LUMRYZ | New policy |
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| Aug 2, 2026 | Highmark Wholecare | XiaflexPayerPolicy · HIGHMARK_WHOLECARE-MEDICATION-XIAFLEX | New policy |
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| Aug 2, 2026 | Highmark Wholecare | XenpozymePayerPolicy · HIGHMARK_WHOLECARE-MEDICATION-XENPOZYME | New policy |
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| Aug 2, 2026 | Highmark Wholecare | VMAT2 InhibitorsPayerPolicy · HIGHMARK_WHOLECARE-MEDICATION-VMAT2-INHIBITORS | New policy |
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| Aug 2, 2026 | Highmark Wholecare | Vitamin D AnalogsPayerPolicy · HIGHMARK_WHOLECARE-MEDICATION-VITAMIN-D-ANALOGS | New policy |
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| Aug 2, 2026 | Highmark Wholecare | Vaginal Anti-InfectivesPayerPolicy · HIGHMARK_WHOLECARE-MEDICATION-VAGINAL-ANTI-INFECTIVES | New policy |
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| Aug 2, 2026 | Highmark Wholecare | Urinary Anti-InfectivesPayerPolicy · HIGHMARK_WHOLECARE-MEDICATION-URINARY-ANTI-INFECTIVES | New policy |
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