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 | Florida Blue | Vascular Endothelial Growth Factor Inhibitors for Sickle Cell RetinopathyPayerPolicy · FLORIDA_BLUE-FLBLUE-VASCULAR-ENDOTHELIAL-GROWTH-FACTOR-INHIBITORS-FOR-SICKLE-CEL-B9E0F02F88 | New policy |
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| Aug 2, 2026 | Florida Blue | Colorectal Cancer ScreeningPayerPolicy · FLORIDA_BLUE-FLBLUE-COLORECTAL-CANCER-SCREENING-6DBC6D6BB0 | New policy |
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| Aug 2, 2026 | Florida Blue | Percutaneous Arteriovenous FistulaPayerPolicy · FLORIDA_BLUE-FLBLUE-PERCUTANEOUS-ARTERIOVENOUS-FISTULA-9DFCE53297 | New policy |
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| Aug 2, 2026 | Florida Blue | Hemgenix (Etranacogene Dezaparvovec-Drlb)PayerPolicy · FLORIDA_BLUE-FLBLUE-HEMGENIX-ETRANACOGENE-DEZAPARVOVEC-DRLB-705DDD611F | New policy |
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| Aug 2, 2026 | Florida Blue | Breast Cancer Radiation OncologyPayerPolicy · FLORIDA_BLUE-FLBLUE-BREAST-CANCER-RADIATION-ONCOLOGY-D8D427DAB2 | New policy |
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| Aug 2, 2026 | Florida Blue | Coronavirus Testing in the Outpatient SettingPayerPolicy · FLORIDA_BLUE-FLBLUE-CORONAVIRUS-TESTING-IN-THE-OUTPATIENT-SETTING-D5EB90A871 | New policy |
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| Aug 2, 2026 | Florida Blue | Antisense oligonucleotidesPayerPolicy · FLORIDA_BLUE-FLBLUE-ANTISENSE-OLIGONUCLEOTIDES-0DF77F8991 | New policy |
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| Aug 2, 2026 | Florida Blue | Coronary Artery Calcium Scoring by Electron-Beam Tomography (EBCT) OR Non-Contrast Coronary Computed Tomography (Non-Contrast CCT)PayerPolicy · FLORIDA_BLUE-FLBLUE-CORONARY-ARTERY-CALCIUM-SCORING-BY-ELECTRON-BEAM-TOMOGRAPHY-521EED685F | New policy |
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| Aug 2, 2026 | Florida Blue | Temporarily Implanted Nitinol Device (iTind) for Benign Prostatic HyperplasiaPayerPolicy · FLORIDA_BLUE-FLBLUE-TEMPORARILY-IMPLANTED-NITINOL-DEVICE-ITIND-FOR-BENIGN-PROSTA-D2C90BA83F | New policy |
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| Aug 2, 2026 | Florida Blue | Biofeedback as a Treatment of Fecal Incontinence or ConstipationPayerPolicy · FLORIDA_BLUE-FLBLUE-BIOFEEDBACK-AS-A-TREATMENT-OF-FECAL-INCONTINENCE-OR-CONSTIPA-C8C92060C1 | New policy |
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| Aug 2, 2026 | Florida Blue | Percutaneous Electrical Nerve Field Stimulation for Functional Abdominal Pain DisordersPayerPolicy · FLORIDA_BLUE-FLBLUE-PERCUTANEOUS-ELECTRICAL-NERVE-FIELD-STIMULATION-FOR-FUNCTION-94F48EE8EA | New policy |
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| Aug 2, 2026 | Florida Blue | Elivaldogene autotemcel (Skysona) Suspension for Intravenous InfusionPayerPolicy · FLORIDA_BLUE-FLBLUE-ELIVALDOGENE-AUTOTEMCEL-SKYSONA-SUSPENSION-FOR-INTRAVENOUS-I-8E65918AED | New policy |
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| Aug 2, 2026 | Florida Blue | Axillary Reverse Mapping for Breast Cancer-Related LymphedemaPayerPolicy · FLORIDA_BLUE-FLBLUE-AXILLARY-REVERSE-MAPPING-FOR-BREAST-CANCER-RELATED-LYMPHEDEM-3F9E3A434B | New policy |
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| Aug 2, 2026 | Florida Blue | Betibeglogene autotemcel (Zynteglo) (Intravenous)PayerPolicy · FLORIDA_BLUE-FLBLUE-BETIBEGLOGENE-AUTOTEMCEL-ZYNTEGLO-INTRAVENOUS-A2074F71B0 | New policy |
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| Aug 2, 2026 | Florida Blue | Functional Endoscopic Sinus Surgery for Chronic RhinosinusitisPayerPolicy · FLORIDA_BLUE-FLBLUE-FUNCTIONAL-ENDOSCOPIC-SINUS-SURGERY-FOR-CHRONIC-RHINOSINUSIT-5D8837344F | New policy |
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| Aug 2, 2026 | Florida Blue | Annular Closure Devices (e.g., Barricaid, Xclose, Inclose)PayerPolicy · FLORIDA_BLUE-FLBLUE-ANNULAR-CLOSURE-DEVICES-E-G-BARRICAID-XCLOSE-INCLOSETM-7DEA26B667 | New policy |
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| Aug 2, 2026 | Florida Blue | Gender Affirmation Surgery and Hormone TherapyPayerPolicy · FLORIDA_BLUE-FLBLUE-GENDER-AFFIRMATION-SURGERY-AND-HORMONE-THERAPY-C4CF2A3A90 | New policy |
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| Aug 2, 2026 | Florida Blue | Inclisiran (Leqvio)PayerPolicy · FLORIDA_BLUE-FLBLUE-INCLISIRAN-LEQVIO-4E7BFE4578 | New policy |
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| Aug 2, 2026 | Florida Blue | Nivolumab; Relatlimab-rmbw (Opdualag) injectionPayerPolicy · FLORIDA_BLUE-FLBLUE-NIVOLUMAB-RELATLIMAB-RMBW-OPDUALAG-INJECTION-7B83A217B4 | New policy |
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| Aug 2, 2026 | Florida Blue | efgartigimod alfa -Vyvgart and Vyvgart Hytrulo (efgartigimod alfa/hyaluronidase-qvfc)PayerPolicy · FLORIDA_BLUE-FLBLUE-EFGARTIGIMOD-ALFA-VYVGARTTM-AND-VYVGART-HYTRULO-EFGARTIGIMOD-6C34B6B051 | New policy |
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| Aug 2, 2026 | Florida Blue | Therapeutic Radiopharmaceuticals for Prostate CancerPayerPolicy · FLORIDA_BLUE-FLBLUE-THERAPEUTIC-RADIOPHARMACEUTICALS-FOR-PROSTATE-CANCER-D8F801E590 | New policy |
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| Aug 2, 2026 | Florida Blue | Digital Health Technologies: Diagnostic ApplicationsPayerPolicy · FLORIDA_BLUE-FLBLUE-DIGITAL-HEALTH-TECHNOLOGIES-DIAGNOSTIC-APPLICATIONS-7F6A2EB3F4 | New policy |
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| Aug 2, 2026 | Florida Blue | Vabysmo (faricimab-svoa)PayerPolicy · FLORIDA_BLUE-FLBLUE-VABYSMOTM-FARICIMAB-SVOA-C5ABA7E68E | New policy |
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| Aug 2, 2026 | Florida Blue | Nulojix (belatacept)PayerPolicy · FLORIDA_BLUE-FLBLUE-NULOJIX-BELATACEPT-7C858ECE93 | New policy |
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| Aug 2, 2026 | Florida Blue | Bimatoprost Implant (Durysta)PayerPolicy · FLORIDA_BLUE-FLBLUE-BIMATOPROST-IMPLANT-DURYSTATM-A535968B79 | New policy |
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| Aug 2, 2026 | Florida Blue | Nexviazyme (avalglucosidase alfa-ngpt) InjectionPayerPolicy · FLORIDA_BLUE-FLBLUE-NEXVIAZYMETM-AVALGLUCOSIDASE-ALFA-NGPT-INJECTION-FDD401A2DB | New policy |
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| Aug 2, 2026 | Florida Blue | Medical Management of Obstructive Sleep Apnea SyndromePayerPolicy · FLORIDA_BLUE-FLBLUE-MEDICAL-MANAGEMENT-OF-OBSTRUCTIVE-SLEEP-APNEA-SYNDROME-5EEFA57F44 | New policy |
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| Aug 2, 2026 | Florida Blue | Fasenra benralizumabPayerPolicy · FLORIDA_BLUE-FLBLUE-FASENRA-BENRALIZUMAB-7A823FD0BD | New policy |
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| Aug 2, 2026 | Florida Blue | Genetic Markers for Assessing Risk of Cardiovascular DiseasePayerPolicy · FLORIDA_BLUE-FLBLUE-GENETIC-MARKERS-FOR-ASSESSING-RISK-OF-CARDIOVASCULAR-DISEASE-95E111E1A0 | New policy |
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| Aug 2, 2026 | Florida Blue | Skilled Nursing FacilityPayerPolicy · FLORIDA_BLUE-FLBLUE-SKILLED-NURSING-FACILITY-247F3D9B0F | New policy |
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| Aug 2, 2026 | Florida Blue | Dry Hydrotherapy for Chronic Pain ConditionPayerPolicy · FLORIDA_BLUE-FLBLUE-DRY-HYDROTHERAPY-FOR-CHRONIC-PAIN-CONDITION-F2C3AED2EF | New policy |
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| Aug 2, 2026 | Florida Blue | AntiemeticsPayerPolicy · FLORIDA_BLUE-FLBLUE-ANTIEMETICS-A2D73DDEBA | New policy |
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| Aug 2, 2026 | Florida Blue | Xgeva (Denosumab)PayerPolicy · FLORIDA_BLUE-FLBLUE-XGEVA-DENOSUMAB-5688B15F56 | New policy |
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| Aug 2, 2026 | Florida Blue | Remote Electrical Neuromodulation for MigrainesPayerPolicy · FLORIDA_BLUE-FLBLUE-REMOTE-ELECTRICAL-NEUROMODULATION-FOR-MIGRAINES-A2E654BE58 | New policy |
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| Aug 2, 2026 | Florida Blue | Prolia (Denosumab) and BiosimilarsPayerPolicy · FLORIDA_BLUE-FLBLUE-PROLIA-DENOSUMAB-AND-BIOSIMILARS-4737A67046 | New policy |
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| Aug 2, 2026 | Florida Blue | Eyelid Thermal Pulsation for the Treatment of Dry Eye SyndromePayerPolicy · FLORIDA_BLUE-FLBLUE-EYELID-THERMAL-PULSATION-FOR-THE-TREATMENT-OF-DRY-EYE-SYNDRO-13A08F40F2 | New policy |
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| Aug 2, 2026 | Florida Blue | Corneal Collagen Cross-LinkingPayerPolicy · FLORIDA_BLUE-FLBLUE-CORNEAL-COLLAGEN-CROSS-LINKING-A9206B08A8 | New policy |
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| Aug 2, 2026 | Florida Blue | Intravitreal Angiogenesis Inhibitors for Retinal Vascular ConditionsPayerPolicy · FLORIDA_BLUE-FLBLUE-INTRAVITREAL-ANGIOGENESIS-INHIBITORS-FOR-RETINAL-VASCULAR-CO-22B4391182 | New policy |
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| Aug 2, 2026 | Florida Blue | Viscocanalostomy and CanaloplastyPayerPolicy · FLORIDA_BLUE-FLBLUE-VISCOCANALOSTOMY-AND-CANALOPLASTY-76435D5056 | New policy |
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| Aug 2, 2026 | Florida Blue | Gas-Permeable Scleral Contact LensPayerPolicy · FLORIDA_BLUE-FLBLUE-GAS-PERMEABLE-SCLERAL-CONTACT-LENS-334314E689 | New policy |
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| Aug 2, 2026 | Florida Blue | Intravitreal Angiogenesis Inhibitors for Choroidal Vascular ConditionsPayerPolicy · FLORIDA_BLUE-FLBLUE-INTRAVITREAL-ANGIOGENESIS-INHIBITORS-FOR-CHOROIDAL-VASCULAR-C9A0A34DF3 | New policy |
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| Aug 2, 2026 | Florida Blue | Intravitreal and Intracanalicular Corticosteroid ImplantsPayerPolicy · FLORIDA_BLUE-FLBLUE-INTRAVITREAL-AND-INTRACANALICULAR-CORTICOSTEROID-IMPLANTS-6FA6A69F33 | New policy |
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| Aug 2, 2026 | Florida Blue | Endothelial KeratoplastyPayerPolicy · FLORIDA_BLUE-FLBLUE-ENDOTHELIAL-KERATOPLASTY-CFFAF541DD | New policy |
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| Aug 2, 2026 | Florida Blue | Aqueous Shunts and Devices for GlaucomaPayerPolicy · FLORIDA_BLUE-FLBLUE-AQUEOUS-SHUNTS-AND-DEVICES-FOR-GLAUCOMA-D9D574EBBD | New policy |
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| Aug 2, 2026 | Florida Blue | Intraocular Radiation Therapy for Age-Related Macular DegenerationPayerPolicy · FLORIDA_BLUE-FLBLUE-INTRAOCULAR-RADIATION-THERAPY-FOR-AGE-RELATED-MACULAR-DEGENE-1E53176A21 | New policy |
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| Aug 2, 2026 | Florida Blue | Optical Coherence Tomography of the Anterior Eye SegmentPayerPolicy · FLORIDA_BLUE-FLBLUE-OPTICAL-COHERENCE-TOMOGRAPHY-OF-THE-ANTERIOR-EYE-SEGMENT-A0E8A055C4 | New policy |
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| Aug 2, 2026 | Florida Blue | Implantation of Intrastromal Corneal Ring SegmentsPayerPolicy · FLORIDA_BLUE-FLBLUE-IMPLANTATION-OF-INTRASTROMAL-CORNEAL-RING-SEGMENTS-B653B9A384 | New policy |
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| Aug 2, 2026 | Florida Blue | Retinal Telescreening for Diabetic RetinopathyPayerPolicy · FLORIDA_BLUE-FLBLUE-RETINAL-TELESCREENING-FOR-DIABETIC-RETINOPATHY-37B2CB2F8B | New policy |
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| Aug 2, 2026 | Florida Blue | Ocular Photoscreening in the Primary Care Physician's Office as a Screening Tool To Detect Amblyogenic FactorsPayerPolicy · FLORIDA_BLUE-FLBLUE-OCULAR-PHOTOSCREENING-IN-THE-PRIMARY-CARE-PHYSICIAN-S-OFFICE-C2A92E2DE7 | New policy |
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| Aug 2, 2026 | Florida Blue | Photodynamic Therapy for Choroidal NeovascularizationPayerPolicy · FLORIDA_BLUE-FLBLUE-PHOTODYNAMIC-THERAPY-FOR-CHOROIDAL-NEOVASCULARIZATION-37BADBB85F | New policy |
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