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 | Bezlotoxumab (Zinplava)PayerPolicy · FLORIDA_BLUE-FLBLUE-BEZLOTOXUMAB-ZINPLAVA-5856CB1051 | New policy |
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| Aug 2, 2026 | Florida Blue | Teprotumumab-trbw (Tepezza)PayerPolicy · FLORIDA_BLUE-FLBLUE-TEPROTUMUMAB-TRBW-TEPEZZATM-751F9CEB99 | New policy |
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| Aug 2, 2026 | Florida Blue | Genetic Testing for Breast, Ovarian, Pancreatic and Prostate CancersPayerPolicy · FLORIDA_BLUE-FLBLUE-GENETIC-TESTING-FOR-BREAST-OVARIAN-PANCREATIC-AND-PROSTATE-C-005C18FE3C | New policy |
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| Aug 2, 2026 | Florida Blue | Genetic Testing for Hereditary HemochromatosisPayerPolicy · FLORIDA_BLUE-FLBLUE-GENETIC-TESTING-FOR-HEREDITARY-HEMOCHROMATOSIS-944E49B966 | New policy |
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| Aug 2, 2026 | Florida Blue | Testing for Developmental DelayPayerPolicy · FLORIDA_BLUE-FLBLUE-TESTING-FOR-DEVELOPMENTAL-DELAY-72B7AB7AEA | New policy |
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| Aug 2, 2026 | Florida Blue | Genetic Testing of Mitochondrial DisordersPayerPolicy · FLORIDA_BLUE-FLBLUE-GENETIC-TESTING-OF-MITOCHONDRIAL-DISORDERS-AD56C97FF2 | New policy |
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| Aug 2, 2026 | Florida Blue | Genetic Testing for Germline Mutations of the RET Proto-OncogenePayerPolicy · FLORIDA_BLUE-FLBLUE-GENETIC-TESTING-FOR-GERMLINE-MUTATIONS-OF-THE-RET-PROTO-ONCO-CD212447F1 | New policy |
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| Aug 2, 2026 | Florida Blue | Molecular Testing for Cutaneous MelanomaPayerPolicy · FLORIDA_BLUE-FLBLUE-MOLECULAR-TESTING-FOR-CUTANEOUS-MELANOMA-00236F7C2C | New policy |
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| Aug 2, 2026 | Florida Blue | Prenatal Testing for Fetal AneuploidyPayerPolicy · FLORIDA_BLUE-FLBLUE-PRENATAL-TESTING-FOR-FETAL-ANEUPLOIDY-D4E3ADD6B1 | New policy |
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| Aug 2, 2026 | Florida Blue | Surgical Treatments for Lymphedema and LipedemaPayerPolicy · FLORIDA_BLUE-FLBLUE-SURGICAL-TREATMENTS-FOR-LYMPHEDEMA-AND-LIPEDEMA-E93FFF803C | New policy |
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| Aug 2, 2026 | Florida Blue | Bowel Management DevicesPayerPolicy · FLORIDA_BLUE-FLBLUE-BOWEL-MANAGEMENT-DEVICES-84DD7D4C0F | New policy |
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| Aug 2, 2026 | Florida Blue | Minimal Residual DiseasePayerPolicy · FLORIDA_BLUE-FLBLUE-MINIMAL-RESIDUAL-DISEASE-3859C6B620 | New policy |
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| Aug 2, 2026 | Florida Blue | Hospital Medical Services (Inpatient and Observation) and ConsultationPayerPolicy · FLORIDA_BLUE-FLBLUE-HOSPITAL-MEDICAL-SERVICES-INPATIENT-AND-OBSERVATION-AND-CONS-32D8B41488 | New policy |
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| Aug 2, 2026 | Florida Blue | Mitomycin for Pyelocalyceal Solution (Jelmyto)PayerPolicy · FLORIDA_BLUE-FLBLUE-MITOMYCIN-FOR-PYELOCALYCEAL-SOLUTION-JELMYTO-952C4B8B9F | New policy |
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| Aug 2, 2026 | Florida Blue | Mental Health ServicesPayerPolicy · FLORIDA_BLUE-FLBLUE-MENTAL-HEALTH-SERVICES-0408666C76 | New policy |
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| Aug 2, 2026 | Florida Blue | Redblood Cell Molecular TestingPayerPolicy · FLORIDA_BLUE-FLBLUE-REDBLOOD-CELL-MOLECULAR-TESTING-A038524D6F | New policy |
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| Aug 2, 2026 | Florida Blue | Gamma-glutamyl Transferase Testing in AdultsPayerPolicy · FLORIDA_BLUE-FLBLUE-GAMMA-GLUTAMYL-TRANSFERASE-TESTING-IN-ADULTS-D6895C16ED | New policy |
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| Aug 2, 2026 | Florida Blue | Ambulatory or Video Electroencephalogram (EEG) Monitoring, Including Digital Analysis of ElectroencephalogramPayerPolicy · FLORIDA_BLUE-FLBLUE-AMBULATORY-OR-VIDEO-ELECTROENCEPHALOGRAM-EEG-MONITORING-INCL-E6A79E1656 | New policy |
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| Aug 2, 2026 | Florida Blue | Onychomycosis TestingPayerPolicy · FLORIDA_BLUE-FLBLUE-ONYCHOMYCOSIS-TESTING-48D2D8518A | New policy |
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| Aug 2, 2026 | Florida Blue | Esophageal Pathology TestingPayerPolicy · FLORIDA_BLUE-FLBLUE-ESOPHAGEAL-PATHOLOGY-TESTING-2C1E6FD539 | New policy |
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| Aug 2, 2026 | Florida Blue | Gene Expression Profiling and Protein Biomarkers for Prostate CancerPayerPolicy · FLORIDA_BLUE-FLBLUE-GENE-EXPRESSION-PROFILING-AND-PROTEIN-BIOMARKERS-FOR-PROSTAT-E6DA188605 | New policy |
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| Aug 2, 2026 | Florida Blue | Crizanlizumab-tmca (Adakveo)PayerPolicy · FLORIDA_BLUE-FLBLUE-CRIZANLIZUMAB-TMCA-ADAKVEO-FC6BC8DE96 | New policy |
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| Aug 2, 2026 | Florida Blue | Proteogenomic Testing of Individuals With CancerPayerPolicy · FLORIDA_BLUE-FLBLUE-PROTEOGENOMIC-TESTING-OF-INDIVIDUALS-WITH-CANCER-FDB478A26B | New policy |
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| Aug 2, 2026 | Florida Blue | Speech Generating DevicesPayerPolicy · FLORIDA_BLUE-FLBLUE-SPEECH-GENERATING-DEVICES-087488BF80 | New policy |
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| Aug 2, 2026 | Florida Blue | Therapeutic Drug Monitoring for 5-FluorouracilPayerPolicy · FLORIDA_BLUE-FLBLUE-THERAPEUTIC-DRUG-MONITORING-FOR-5-FLUOROURACIL-FFC4F7C62E | New policy |
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| Aug 2, 2026 | Florida Blue | Laboratory Guideline PolicyPayerPolicy · FLORIDA_BLUE-FLBLUE-LABORATORY-GUIDELINE-POLICY-68E952BCD5 | New policy |
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| Aug 2, 2026 | Florida Blue | Genetic Testing for Neurodegenerative DisordersPayerPolicy · FLORIDA_BLUE-FLBLUE-GENETIC-TESTING-FOR-NEURODEGENERATIVE-DISORDERS-BB787D479A | New policy |
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| Aug 2, 2026 | Florida Blue | Hospice CarePayerPolicy · FLORIDA_BLUE-FLBLUE-HOSPICE-CARE-E9EA2980CF | New policy |
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| Aug 2, 2026 | Florida Blue | Cemiplimab-rwlc (Libtayo)PayerPolicy · FLORIDA_BLUE-FLBLUE-CEMIPLIMAB-RWLC-LIBTAYO-BAC1C86ECD | New policy |
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| Aug 2, 2026 | Florida Blue | Genicular Nerve Blocks and Ablation for Chronic Knee PainPayerPolicy · FLORIDA_BLUE-FLBLUE-GENICULAR-NERVE-BLOCKS-AND-ABLATION-FOR-CHRONIC-KNEE-PAIN-9F128982D8 | New policy |
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| Aug 2, 2026 | Florida Blue | Pharmacologic Treatment of Hereditary Transthyretin-Mediated Amyloidosis (Onpattro/Tegsedi/Amvuttra)PayerPolicy · FLORIDA_BLUE-FLBLUE-PHARMACOLOGIC-TREATMENT-OF-HEREDITARY-TRANSTHYRETIN-MEDIATED-E107333D17 | New policy |
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| Aug 2, 2026 | Florida Blue | BioZorbPayerPolicy · FLORIDA_BLUE-FLBLUE-BIOZORB-EF43D90B6B | New policy |
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| Aug 2, 2026 | Florida Blue | Sufentanil Sublingual Tablet (Dsuvia)PayerPolicy · FLORIDA_BLUE-FLBLUE-SUFENTANIL-SUBLINGUAL-TABLET-DSUVIA-D4B7EC8FFD | New policy |
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| Aug 2, 2026 | Florida Blue | Emapalumab-lzsg (Gamifant)PayerPolicy · FLORIDA_BLUE-FLBLUE-EMAPALUMAB-LZSG-GAMIFANT-35DB3E2F48 | New policy |
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| Aug 2, 2026 | Florida Blue | Tagraxofusp-erzs (Elzonris)PayerPolicy · FLORIDA_BLUE-FLBLUE-TAGRAXOFUSP-ERZS-ELZONRIS-0243476DB4 | New policy |
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| Aug 2, 2026 | Florida Blue | Home Health Services PolicyPayerPolicy · FLORIDA_BLUE-FLBLUE-HOME-HEALTH-SERVICES-POLICY-271B258800 | New policy |
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| Aug 2, 2026 | Florida Blue | Onasemnogene AbeparvovecPayerPolicy · FLORIDA_BLUE-FLBLUE-ONASEMNOGENE-ABEPARVOVEC-E1B24176B2 | New policy |
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| Aug 2, 2026 | Florida Blue | CD 5 Complement InhibitorsPayerPolicy · FLORIDA_BLUE-FLBLUE-CD-5-COMPLEMENT-INHIBITORS-AA22A24E3F | New policy |
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| Aug 2, 2026 | Florida Blue | Pharmacogenetic TestingPayerPolicy · FLORIDA_BLUE-FLBLUE-PHARMACOGENETIC-TESTING-D78E5ED1BE | New policy |
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| Aug 2, 2026 | Florida Blue | Parathyroid Hormone, Phosphorus, Calcium and Magnesium TestingPayerPolicy · FLORIDA_BLUE-FLBLUE-PARATHYROID-HORMONE-PHOSPHORUS-CALCIUM-AND-MAGNESIUM-TESTING-046912A1EC | New policy |
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| Aug 2, 2026 | Florida Blue | Imfinzi (durvalumab)PayerPolicy · FLORIDA_BLUE-FLBLUE-IMFINZI-DURVALUMAB-BD2D429C19 | New policy |
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| Aug 2, 2026 | Florida Blue | Service Intensity GuidelinesPayerPolicy · FLORIDA_BLUE-FLBLUE-SERVICE-INTENSITY-GUIDELINES-3E3B046B43 | New policy |
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| Aug 2, 2026 | Florida Blue | Genetic Testing for Muscular DystrophiesPayerPolicy · FLORIDA_BLUE-FLBLUE-GENETIC-TESTING-FOR-MUSCULAR-DYSTROPHIES-E77EF74B4C | New policy |
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| Aug 2, 2026 | Florida Blue | Intracardiac Ischemia MonitoringPayerPolicy · FLORIDA_BLUE-FLBLUE-INTRACARDIAC-ISCHEMIA-MONITORING-1E5F8AFEA0 | New policy |
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| Aug 2, 2026 | Florida Blue | β-Hemolytic Streptococcus TestingPayerPolicy · FLORIDA_BLUE-FLBLUE-HEMOLYTIC-STREPTOCOCCUS-TESTING-CABCFB1F35 | New policy |
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| Aug 2, 2026 | Florida Blue | Testing for Vector-Borne InfectionsPayerPolicy · FLORIDA_BLUE-FLBLUE-TESTING-FOR-VECTOR-BORNE-INFECTIONS-11523BD22E | New policy |
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| Aug 2, 2026 | Florida Blue | Diagnostic Testing of Most Common Sexually Transmitted InfectionsPayerPolicy · FLORIDA_BLUE-FLBLUE-DIAGNOSTIC-TESTING-OF-MOST-COMMON-SEXUALLY-TRANSMITTED-INFEC-4914BE883C | New policy |
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| Aug 2, 2026 | Florida Blue | Urine Culture Testing for BacteriaPayerPolicy · FLORIDA_BLUE-FLBLUE-URINE-CULTURE-TESTING-FOR-BACTERIA-80A09CBADE | New policy |
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| Aug 2, 2026 | Florida Blue | General Inflammation TestingPayerPolicy · FLORIDA_BLUE-FLBLUE-GENERAL-INFLAMMATION-TESTING-67878AEBFF | New policy |
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| Aug 2, 2026 | Florida Blue | Multianalyte Assays with Algorithmic Analyses for Predicting Risk of Type 2 DiabetesPayerPolicy · FLORIDA_BLUE-FLBLUE-MULTIANALYTE-ASSAYS-WITH-ALGORITHMIC-ANALYSES-FOR-PREDICTING-02564FC24B | New policy |
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