Data catalog
Insurer medical policies
About 5,811 records
All records
Every Medical policy record published by Orca1, 1000 per page. Each page lists the record id and its name; open a record for key facts, related records and what Orca1 adds.
- aetna-0001Transrectal Ultrasound
- aetna-0002Oxygen
- aetna-0003Apnea Monitors for Infants
- aetna-0004Obstructive Sleep Apnea in Adults
- aetna-0005Septoplasty and Rhinoplasty
- aetna-0007Erectile Dysfunction
- aetna-0008Color-Flow Doppler Echocardiography in Adults
- aetna-0009Orthopedic Casts, Braces and Splints
- aetna-0010Continuous Passive Motion (CPM) Machines
- aetna-0011Electrical Stimulation for Pain
- aetna-0013Cochlear Implants and Auditory Brainstem Implants
- aetna-0016Back Pain - Invasive Procedures
- aetna-0017Breast Reduction Surgery and Gynecomastia Surgery
- aetna-0019Holter Monitors
- aetna-0020Injectable Medications
- aetna-0021Cardiac Rehabilitation
- aetna-0022Calcitriol, Etelcalcetide, and Paricalcitol Injections
- aetna-0023Corneal Remodeling
- aetna-0024Aldesleukin (Proleukin)
- aetna-0025Automated Ambulatory Blood Pressure Monitoring
- aetna-0027Vasectomy Procedures
- aetna-0028Temporomandibular Disorders
- aetna-0029Thermography
- aetna-0031Cosmetic Surgery and Procedures
- aetna-0032Pulmonary Rehabilitation
- aetna-0034Aural Rehabilitation
- aetna-0035Influenza Vaccine
- aetna-0037Pneumococcal Vaccines
- aetna-0038Allergy and Hypersensitivity
- aetna-0039Weight Reduction Programs and Devices
- aetna-0046Routine Foot Care
- aetna-0047Prenatal Care Provided by Primary Care Physicians
- aetna-0048Hepatitis A Vaccine
- aetna-0049Nutritional Counseling
- aetna-0050Varicose Veins
- aetna-0055Hematopoietic Colony-Stimulating Factors (CSFs)
- aetna-0055mHematopoietic Colony-Stimulating Factors (CSFs) [Medicare]
- aetna-0059Peak Flow Meters
- aetna-0061Nutritional Support
- aetna-0062Burn Garments
- aetna-0065Nebulizers
- aetna-0067Chest Physiotherapy and Airway Clearance Devices
- aetna-0069Lymphedema
- aetna-0070Diabetes Tests, Programs and Supplies
- aetna-0071Positron Emission Tomography (PET)
- aetna-0073Cardiac Event Monitors
- aetna-0074Tracheostomy Supplies
- aetna-0078Learning Disabilities, Dyslexia, and Vision
- aetna-0079Benign Prostatic Hyperplasia
- aetna-0082Dental Services and Oral and Maxillofacial Surgery: Coverage Under Medical Plans
- aetna-0083Stereotactic Radiosurgery
- aetna-0084Eyelid Surgery
- aetna-0088Antepartum Fetal Surveillance
- aetna-0091Endometrial Ablation
- aetna-0093Open Air, Low Field Strength, and Positional Magnetic Resonance Imaging (MRI) Units
- aetna-0094Magnetic Resonance Angiography (MRA) and Magnetic Resonance Venography (MRV)
- aetna-0095Orthognathic Surgery
- aetna-0097External Breast Prosthesis
- aetna-0100Cryoablation
- aetna-0105Magnetic Resonance Imaging (MRI) of the Breast
- aetna-0106Fetal Echocardiography and Magnetocardiography
- aetna-0107Chiropractic Services
- aetna-0111Indocyanine Green Angiography
- aetna-0112Surface Scanning and Macro Electromyography
- aetna-0113Botulinum Toxin
- aetna-0113mBotulinum Toxin [Medicare]
- aetna-0115Varicella and Herpes Zoster Vaccines
- aetna-0116Frenectomy or Frenotomy for Ankyloglossia
- aetna-0124General Anesthesia and Monitored Anesthesia Care for Oral and Maxillofacial Surgery and…
- aetna-0126Contact Lenses and Eyeglasses
- aetna-0127Home Uterine Activity Monitoring
- aetna-0130Computerized Corneal Topography
- aetna-0131Clotting Factors
- aetna-0132Biofeedback
- aetna-0134Bone Mass Measurements
- aetna-0135Acupuncture and Dry Needling
- aetna-0136Skilled Home Private Duty Nursing Care
- aetna-0140Genetic Testing
- aetna-0142Breast Implant Removal
- aetna-0145Alpha 1-Proteinase Inhibitors
- aetna-0145mAlpha 1-Proteinase Inhibitors [Medicare]
- aetna-0147Reflex Sympathetic Dystrophy Diagnosis
- aetna-0151Hippotherapy
- aetna-0153Thalamotomy
- aetna-0155Ribavirin (Virazole)
- aetna-0156Indications, Dosages and Administration of FDA-Approved Drugs
- aetna-0157Obesity Surgery
- aetna-0158Neuropsychological and Psychological Testing
- aetna-0160Lung Denervation Therapy and Lung Volume Reduction Surgery
- aetna-0161Infusion Pumps
- aetna-0163Transmyocardial and Endovascular Laser Revascularization
- aetna-0165Cardiac Catheter Ablation and Radioablation
- aetna-0166Fetal Fibronectin, Inflammatory Biomarkers, and Salivary Hormone Testing for Preterm Labor
- aetna-0168Tumor Scintigraphy
- aetna-0169Outpatient Medical Self-Care Programs
- aetna-0170Growth Hormone (GH) and Growth Hormone Antagonists
- aetna-0170mGrowth Hormone (GH) and Growth Hormone Antagonists [Medicare]
- aetna-0171Magnetic Resonance Imaging (MRI) of the Extremities
- aetna-0172Hyperbaric Oxygen Therapy (HBOT)
- aetna-0173Prothrombin Time (INR) Home Testing Devices
- aetna-0174Pool Therapy, Aquatic Therapy or Hydrotherapy
- aetna-0175Pulsed Electromagnetic Stimulation
- aetna-0177Helicobacter pylori Infection Testing
- aetna-0179Viscosupplementation
- aetna-0179mViscosupplementation [Medicare]
- aetna-0180Vertebral Axial Decompression
- aetna-0181Evoked Potential Studies
- aetna-0182Ventricular Remodeling Operation (Batista Procedure) / and Surgical Ventricular…
- aetna-0184Pulmonary Hypertension Treatments and Selected Indications of Prostanoids
- aetna-0185Breast Reconstructive Surgery
- aetna-0188Total Body Photography, Dermoscopy and Other Selected Noninvasive Dermatologic Tests
- aetna-0189Genetic Counseling
- aetna-0190Stem Cells for Hematopoietic Cell Transplant
- aetna-0191Vagus Nerve Stimulation
- aetna-0194Spinal Cord Stimulation
- aetna-0195Erythropoesis Stimulating Agents
- aetna-0195mErythropoesis Stimulating Agents [Medicare]
- aetna-0198Work Hardening Programs
- aetna-0199Ultrasound for Pregnancy
- aetna-0200Conversion of Anti-Coagulants to Heparin Before and After Elective Surgery
- aetna-0201Skilled Home Health Care Nursing Services
- aetna-0202Magnetic Resonance Spectroscopy (MRS)
- aetna-0204Manipulation Under General Anesthesia
- aetna-0205Phototherapy and Photochemotherapy (PUVA) for Skin Conditions
- aetna-0206Parenteral Immunoglobulins
- aetna-0206mParenteral Immunoglobulins [Medicare]
- aetna-0207Prolotherapy and Sclerotherapy
- aetna-0208Deep Brain Stimulation
- aetna-0210Phonophoresis
- aetna-0211Abdominoplasty,Suction Lipectomy, and Ventral Hernia Repair
- aetna-0212Musculoskeletal Assessment Systems
- aetna-0213Gastroesophageal Reflux Disease (GERD)
- aetna-0214Cognitive Rehabilitation
- aetna-0215Lyme Disease and other Tick-Borne Diseases
- aetna-0218Home Health Aides
- aetna-0220Distraction Osteosynthesis
- aetna-0221Quantitative EEG (Brain Mapping)
- aetna-0223Urinary Incontinence
- aetna-0225Maze Procedure
- aetna-0226Hospitalization for the Initiation of Ketogenic Diet for the Treatment of Intractable…
- aetna-0227Breast and Ovarian Cancer Susceptibility Gene Testing, Prophylactic Mastectomy, and…
- aetna-0228Cardiac CT, Coronary CT Angiography, Calcium Scoring and CT Fractional Flow Reserve
- aetna-0229Iontophoresis
- aetna-0231Grenz Ray Therapy for Skin Disorders
- aetna-0232Back Pain - Non Invasive Treatments
- aetna-0234Chelation Therapy
- aetna-0235Plantar Fasciitis Treatments
- aetna-0236Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) of the Spine
- aetna-0237Chronic Pain Programs
- aetna-0238Chronic Vertigo
- aetna-0240Antineoplaston Therapy
- aetna-0241Extracorporeal Photochemotherapy (Photopheresis)
- aetna-0243Speech Therapy
- aetna-0244Skin and Soft Tissue Substitutes
- aetna-0245Tumor Chemosensitivity Assays
- aetna-0247Autologous Chondrocyte Implantation
- aetna-0248Fiberoptic Endoscopic Evaluation of Swallowing (FEES)/Fiberoptic Endoscopic Evaluation of…
- aetna-0249Inflammatory Bowel Disease: Serologic Markers and Pharmacogenomic and Metabolic Assessment…
- aetna-0250Occupational Therapy Services
- aetna-0251Dermabrasion, Chemical Peels, and Acne Surgery
- aetna-0253Vocal Cord Paralysis/Insufficiency Treatments
- aetna-0255Inpatient Admission Prior to Surgery (Preop Days)
- aetna-0256Sensory and Auditory Integration Therapy
- aetna-0259Transjugular Intrahepatic Portosystemic Shunt (TIPSS)
- aetna-0262External Counterpulsation (ECP)
- aetna-0263Gait Analysis and Electrodynogram
- aetna-0264Multiple Sclerosis
- aetna-0264mMultiple Sclerosis [Medicare]
- aetna-0265Surgical Treatments to Control Drooling (Sialorrhea)
- aetna-0266Cholecystokinin Cholescintigraphy
- aetna-0267Intensive Cardiac Rehabilitation Programs
- aetna-0268Liver and Other Neoplasms - Treatment Approaches
- aetna-0269Breast Biopsy Procedures
- aetna-0270Proton Beam, Neutron Beam, and Carbon Ion Radiotherapy
- aetna-0271Wheelchairs and Power Operated Vehicles (Scooters)
- aetna-0272Pectus Excavatum and Poland's Syndrome: Surgical Correction
- aetna-0274Ablation of Hepatic Lesions
- aetna-0276Angioplasty and Stenting of Extra-Cranial and Intra-Cranial Arteries
- aetna-0278Hyperthermia in Cancer Therapy
- aetna-0279Magnetic Source Imaging/Magnetoencephalography
- aetna-0282Noninvasive Down Syndrome Screening
- aetna-0284Melodic Intonation Therapy
- aetna-0285Plasmapheresis/Plasma Exchange/Therapeutic Apheresis
- aetna-0287Hip Arthroplasty
- aetna-0288Stereotactic Cingulotomy and Capsulotomy
- aetna-0289Grid Monitoring and Intraoperative Electroencephalography
- aetna-0290Scalp Cooling (Hypothermia) to Prevent Hair Loss During Chemotherapy
- aetna-0291Hemodialysis for Schizophrenia
- aetna-0292Catheter-Directed Cardiac Procedures
- aetna-0293Corneal Graft and Amniotic Membrane Transplantation, Corneal Stromal Lenticule…
- aetna-0294Pedobarography
- aetna-0295Peripheral Atherectomy and Thrombectomy Devices
- aetna-0297Cryoanalgesia and Therapeutic Cold
- aetna-0298Non-invasive Negative Pressure Ventilation: Body Ventilators and Poncho Wrap
- aetna-0299Tilt Table Testing
- aetna-0300Hair Analysis
- aetna-0302Xerostomia: Selected Treatments
- aetna-0304Fibroid Treatment
- aetna-0305Videostroboscopy
- aetna-0306Laboratory Tests for Depression and Other Psychiatric Disorders
- aetna-0307Parkinson's Disease
- aetna-0310Thoracoscopic Sympathectomy
- aetna-0313Trastuzumab (Herceptin and biosimilars), Trastuzumab and Hyaluronidase-oysk (Herceptin…
- aetna-0313mTrastuzumab (Herceptin and biosimilars), Trastuzumab and Hyaluronidase-oysk (Herceptin…
- aetna-0314Rituximab
- aetna-0314mRituximab [Medicare]
- aetna-0315Etanercept
- aetna-0316HIV Drug Susceptibility and Resistance Tests
- aetna-0317Ultra Rapid Detoxification (UROD)
- aetna-0318Palivizumab (Synagis)
- aetna-0319RET Proto-Oncogene Testing
- aetna-0321Behavioral Vision Therapy and Vision Restoration Therapy
- aetna-0322Electroencephalographic (EEG) Video Monitoring
- aetna-0323Preconceptional Sex Selection Techniques
- aetna-0325Physical Therapy Services
- aetna-0327Infertility
- aetna-0329Home Births
- aetna-0330Multiple Sleep Latency Test (MSLT) and Maintenance of Wakefulness Test (MWT)
- aetna-0332Neonatal Hyperbilirubinemia
- aetna-0334Negative Pressure Wound Therapy
- aetna-0336Acoustic Pharyngometers and SNAP™ Testing System
- aetna-0337BreastCare/BreastAlert Differential Temperature Sensor
- aetna-0339Pulse Oximetry and Capnography for Home Use
- aetna-0340Antibody Tests for Neurologic Diseases
- aetna-0341Infliximab
- aetna-0341mInfliximab [Medicare]
- aetna-0342Intestinal Rehabilitation Programs
- aetna-0343Bone Growth Stimulators
- aetna-0344Optic Nerve and Retinal Imaging Methods
- aetna-0345Implantable Hormone Pellets
- aetna-0346Low-Molecular-Weight Heparins and Thrombin Inhibitors
- aetna-0347Transcervical Balloon Tuboplasty
- aetna-0348Recurrent Pregnancy Loss
- aetna-0349Alzheimer's Disease Tests
- aetna-0351Flow Cytometry, Ektacytometry, DNA Ploidy, and S-phase Fraction
- aetna-0352Tumor Markers
- aetna-0353Transcranial Doppler Ultrasonography
- aetna-0354YAG Laser in Ophthalmology and Selected Indications
- aetna-0355Extracorporeal Immunoadsorption (Prosorba column)
- aetna-0356Meningococcal Vaccines
- aetna-0357Quantitative Sensory Testing Methods
- aetna-0358Invasive Prenatal Diagnosis of Genetic Diseases
- aetna-0361Strontium Chloride Sr-89 (Metastron)
- aetna-0362Spasticity Management
- aetna-0363Cold Laser and High-Power Laser Therapies
- aetna-0364Allograft Transplants of the Extremities
- aetna-0365Pancreaticoduodenectomy (Whipple Resection)
- aetna-0366Paralytic Lagophthalmos: Treatments
- aetna-0367Home Cholesterol Monitors
- aetna-0368Hypertensive Disorders of Pregnancy
- aetna-0369Chronic Fatigue Syndrome
- aetna-0370Phototherapy for Psychiatric Disorders
- aetna-0371Brachytherapy
- aetna-0372Wound Imaging and Noncontact Normothermic / Nonthermal Wound Therapy
- aetna-0373Crit-Line In-Line Monitor
- aetna-0374Trigeminal Neuralgia: Treatments
- aetna-0375Photodynamic Therapy
- aetna-0376Single Photon Emission Computed Tomography (SPECT)
- aetna-0377Dendritic Cell Immunotherapy
- aetna-0378NeuroControl Freehand System
- aetna-0379Cranial Remodeling
- aetna-0380Lung Cancer Screening
- aetna-0381Cardiovascular Disease Risk Tests
- aetna-0382Intravascular Ultrasound
- aetna-0383Mohs Micrographic Surgery
- aetna-0384Magnetic Resonance Cholangiopancreatography
- aetna-0386Breast Transillumination, Electrical Impedance Scanning (EIS), and Elastography
- aetna-0387Magnetic Resonance Neurography
- aetna-0388Complementary and Alternative Medicine
- aetna-0389Hypertrophic Scars and Keloids
- aetna-0390Smell and Taste Disorders - Diagnosis
- aetna-0392Metabolic and Environmental Profiling for Kidney Stone Risk
- aetna-0393Vitrectomy
- aetna-0394Epilepsy Surgery
- aetna-0395Ethanol Injection for Thyroid Lesions
- aetna-0396Gastrointestinal Function: Selected Tests
- aetna-0397Knee Ligament Arthrometer Testing
- aetna-0398Idiopathic Scoliosis
- aetna-0399Upper Limb Prostheses
- aetna-0400Ernest or Eagle's Syndrome (Stylomandibular Ligament Pain): Treatment with Radiofrequency…
- aetna-0401Selective Peripheral Denervation (Bertrand Procedure)
- aetna-0402Polio Vaccine
- aetna-0403Bone-Anchored Hearing Aids
- aetna-0404Interferons
- aetna-0405Mechanical Stretching Devices for Contracture and Joint Stiffness
- aetna-0406Tinnitus Treatments
- aetna-0407Selected Aortic Valve Procedures: Ross Pulmonary Autograft and Aortic Valve-Sparing…
- aetna-0409Macular / Foveal Translocation
- aetna-0410Hepatitis B Vaccine
- aetna-0411Bone and Tendon Graft Substitutes and Adjuncts
- aetna-0412Therabite Jaw Motion Rehabilitation Systems
- aetna-0413Varicocele: Selected Treatments
- aetna-0414AcuTect Scintigraphic Imaging for Detection of Lower Limb Deep Vein Thrombosis
- aetna-0415Optic Nerve Decompression Surgery
- aetna-0416Nerve Grafting and Reconstruction: Selected Indications
- aetna-0417Amnioinfusion
- aetna-0418Myringotomy and Tympanostomy Tube
- aetna-0419Graves' Ophthalmopathy Treatments
- aetna-0420Nasolacrimal Duct Obstruction: Treatments
- aetna-0421Breast Pumps
- aetna-0422Vitiligo
- aetna-0423Alopecia Areata
- aetna-0425Ambulatory Electroencephalography
- aetna-0426Attention Deficit/Hyperactivity Disorder
- aetna-0427Carbon Dioxide Laser
- aetna-0428Carbogen Inhalation Therapy
- aetna-0429Bathroom and Toilet Equipment and Supplies
- aetna-0430Pressure Reducing Support Surfaces
- aetna-0431Enuresis
- aetna-0432Computerized Motion Diagnostic Imaging
- aetna-0433Chlamydia Trachomatis - Screening and Diagnosis
- aetna-0434Therapeutic Chairs
- aetna-0435Viscocanalostomy and Canaloplasty
- aetna-0437Speech Generating Devices
- aetna-0438Obsolete and Unreliable Tests and Procedures
- aetna-0441Pelvic Congestion Syndrome: Treatments
- aetna-0442Lysosomal Storage Disorders Treatments
- aetna-0443Cervical Cancer Screening and Diagnosis
- aetna-0444Early Intervention Programs
- aetna-0445Electroconvulsive Therapy
- aetna-0446Endoscopic Ultrasonography
- aetna-0447Complex Regional Pain Syndrome (CRPS) / Reflex Sympathetic Dystrophy (RSD): Treatments
- aetna-0449Fetal Surgery In Utero
- aetna-0450Fluidized Therapy (Fluidotherapy)
- aetna-0451Foot Orthotics
- aetna-0452Positive Pressure Ventilation
- aetna-0453Cervical Traction Devices
- aetna-0456Pillows and Cushions
- aetna-0457Dry Eyes
- aetna-0458Peripheral Vascular Rehabilitation Programs
- aetna-0459Seat Lifts and Patient Lifts
- aetna-0462Headaches: Nonsurgical Management
- aetna-0464Serum and Urine Marker Screening for Fetal Aneuploidy
- aetna-0465Mifepristone (RU 486)
- aetna-0466Clinical Trials, Coverage of Routine Patient Care Costs
- aetna-0467Vestibular Autorotation Test (VAT)
- aetna-0468Magnesium Sulfate and Terbutaline Pump for Preterm Labor
- aetna-0469Transcranial Magnetic Stimulation and Cranial Electrical Stimulation
- aetna-0471Tuberculosis Testing
- aetna-0472Thoracic Electrical Bioimpedance for Cardiac Output Monitoring
- aetna-0473Vaccines for Travel
- aetna-0474Total Body Plethysmography
- aetna-0475Coblation
- aetna-0476Influenza Rapid Diagnostic Tests
- aetna-0477Balloon Valvuloplasty
- aetna-0479Respiratory Devices: Incentive Spirometers, Vaporizers and Intermittent Positive Pressure…
- aetna-0480Tourette Syndrome
- aetna-0481Tables and Boards
- aetna-0482Compression Garments for the Legs
- aetna-0483Anthrax Vaccine/Treatment
- aetna-0484Glaucoma Surgery
- aetna-0485Autonomic Testing / Sudomotor Tests
- aetna-0489Orthoptic Vision Therapy
- aetna-0490Transpupillary Thermal Therapy
- aetna-0491Coronary Artery Brachytherapy and Other Adjuncts to Coronary Interventions
- aetna-0492Radiofrequency Tumor Ablation
- aetna-0493Kidney Transplantation
- aetna-0494Hematopoietic Cell Transplantation for Non-Hodgkin's Lymphoma
- aetna-0495Hematopoietic Cell Transplantation for Hodgkin's Disease
- aetna-0496Hematopoietic Cell Transplantation for Selected Childhood Solid Tumors
- aetna-0497Hematopoietic Cell Transplantation for Multiple Myeloma
- aetna-0499Nonstandard Laboratory Test Panels
- aetna-0500Intermittent Pneumatic Compression Devices
- aetna-0501Gonadotropin-Releasing Hormone Analogs and Antagonists
- aetna-0501mGonadotropin-Releasing Hormone Analogs and Antagonists [Medicare]
- aetna-0502Nerve Conduction Velocity Studies
- aetna-0503Suction Pumps
- aetna-0504Hyperhidrosis (Hyperhydrosis)
- aetna-0505Ambulatory Assist Devices: Walkers, Canes, and Crutches
- aetna-0507Hematopoietic Cell Transplantation for Breast Cancer - CPB 507
- aetna-0508Cataract Removal Surgery
- aetna-0509Contact Dissolution for Gallstones
- aetna-0510Progestins
- aetna-0511Eating Disorders
- aetna-0512Premenstrual Syndrome/Premenstrual Dysphoric Disorder
- aetna-0514Meniere's Disease Surgery
- aetna-0515Thyrogen (Thyrotropin Alfa)
- aetna-0516Colonoscopy and Colorectal Cancer Screening
- aetna-0517Breast Ductal Lavage and Fiberoptic Ductoscopy
- aetna-0518Nitric Oxide, Inhalational (INO)
- aetna-0520Magnetic Resonance Imaging of the Cardiovascular System - Cardiac MRI
- aetna-0521Prostate Cancer Screening
- aetna-0522Pulsed Irrigation Evacuation (PIE)
- aetna-0523Car-Ride Simulators for Infantile Colic
- aetna-0524Zoledronic Acid
- aetna-0525Screening for Lipid Disorders
- aetna-0526Surgical Dressings (Wound Care Supplies)
- aetna-0527Intragastric Hypothermia
- aetna-0528Testosterone Undecanoate Injection (Aveed)
- aetna-0529Transabdominal Cerclage
- aetna-0530Transvaginal Ultrasonography
- aetna-0531Balloon-Expandable Venous Stents
- aetna-0532Scrotal Ultrasonography
- aetna-0533Urological Supplies
- aetna-0534Vesicoureteral Reflux Treatment by Endoscopic Injection of Bulking Agents
- aetna-0535Virtual Gastrointestinal Endoscopy
- aetna-0536Vitamin B-12 Therapy
- aetna-0538Endothelial Cell Photography
- aetna-0539Fundus Photography
- aetna-0540Heating Devices
- aetna-0541Dialysis
- aetna-0542HIV Testing
- aetna-0543Hospital Beds and Accessories
- aetna-0544Immune Globulins for Post-exposure Prophylaxis
- aetna-0545Electrothermal Arthroscopy
- aetna-0546Extracorporeal Membrane Oxygenation (ECMO)
- aetna-0547Rosacea
- aetna-0548Cardiovascular Monitoring Equipment for Home Use: Pulse, Blood Pressure, Telemonitors, and…
- aetna-0549Distraction Osteogenesis for Craniofacial Defects
- aetna-0551Radiation Treatment for Selected Nononcologic Indications
- aetna-0552Laser Neurolysis
- aetna-0553Lead Testing
- aetna-0554Applied Behavior Analysis
- aetna-0556Bio-Surgery: Medicinal Leech Therapy and Medical Maggots
- aetna-0557Cancer Vaccines
- aetna-0558Percutaneous Transluminal Septal Myocardial Ablation (PTSMA)
- aetna-0559Pulsed Dye Laser Treatment
- aetna-0560Voice Prosthesis for Voice Rehabilitation Following Total Laryngectomy
- aetna-0561Celiac Disease Laboratory Testing
- aetna-0562Biochemical Markers of Bone Remodeling
- aetna-0563Retinopathy Telescreening Systems
- aetna-0564Electrocochleogram and Perilymphatic Pressure Measurement
- aetna-0565Ankle Orthoses, Ankle-Foot Orthoses (AFOs), and Knee-Ankle-Foot Orthoses (KAFOs)
- aetna-0566Strabismus Repair in Adults
- aetna-0567Actinic Keratoses Treatment
- aetna-0568AngioJet Rheolytic Thrombectomy System
- aetna-0569Lumbar Traction Devices
- aetna-0571Endolymphatic Hydrops (Meniere's Disease) Tests
- aetna-0572Home/Ambulatory Spirometry
- aetna-0574Female Sexual Dysfunction (FSD)
- aetna-0575Intravenous Iron Therapy
- aetna-0575mIntravenous Iron Therapy [Medicare]
- aetna-0577Laser Treatment for Psoriasis and Other Selected Skin Conditions
- aetna-0578Lower Limb Prostheses
- aetna-0579T-Wave Alternans
- aetna-0580Low Vision Programs
- aetna-0581Lung Imaging: Selected Techniques
- aetna-0582Titanium Rib
- aetna-0583Eye Movement Desensitization and Reprocessing (EMDR) Therapy
- aetna-0584Mammography
- aetna-0585Cardioverter-Defibrillators
- aetna-0586Heart Transplantation
- aetna-0587Pancreas Kidney Transplantation
- aetna-0588Capsule Endoscopy
- aetna-0590Intensity Modulated Radiation Therapy
- aetna-0591Intervertebral Disc Prostheses
- aetna-0592Intranasal Radiofrequency Ablation
- aetna-0593Aerosolized or Irrigated Anti-infectives for Sinusitis
- aetna-0594Verteporfin (Visudyne) Photodynamic Therapy
- aetna-0596Liver Transplantation
- aetna-0597Heart-Lung Transplant
- aetna-0598Lung Transplantation
- aetna-0599Autologous Skeletal Myoblast/Mononuclear Bone Marrow Cell Transplantation
- aetna-0601Pancreas Transplantation Alone (PTA) and Islet Cell Transplantation
- aetna-0602Intradiscal Procedures
- aetna-0603Total-Body CT Screening
- aetna-0604Infrared Therapy
- aetna-0605Intestinal Transplantation
- aetna-0606Hematopoietic Cell Transplantation for Autoimmune Diseases and Miscellaneous Indications
- aetna-0607Anesthetic and Antiemetic Infusion Pumps
- aetna-0608Salivary Tests
- aetna-0609Laser Photocoagulation of Drusen
- aetna-0610Cardiac Resynchronization Therapy and Other Pacing/Defibrillator Treatments for Heart…
- aetna-0611Fecal Incontinence
- aetna-0612Hearing Aids
- aetna-0613Stereolithographic Models and Implants
- aetna-0614Huntington's Disease
- aetna-0615Gender Affirming Surgery
- aetna-0616Gastrointestinal Manometry
- aetna-0617Hematopoietic Cell Transplantation for Testicular Cancer
- aetna-0618Brain Natriuretic Peptide Testing
- aetna-0619Eye Prosthesis
- aetna-0620Facial Prostheses, External
- aetna-0621Drug-Eluting Stents
- aetna-0622Glaucoma Testing
- aetna-0623Safety Items
- aetna-0625Dysphagia Therapy
- aetna-0626Hematopoietic Cell Transplantation for Thalassemia Major and Sickle Cell Anemia
- aetna-0627Hematopoietic Cell Transplantation for Aplastic Anemia and Other Bone Marrow Failure…
- aetna-0628Spinal Ultrasound
- aetna-0629Bunionectomy
- aetna-0630Prosthetic Limb Vacuum Systems
- aetna-0633Benign Skin Lesion Removal
- aetna-0634Non-myeloablative Hematopoietic Cell Transplantation (Mini-Allograft / Reduced Intensity…
- aetna-0635Hematopoietic Cell Transplantation for Ovarian Cancer
- aetna-0636Hammer Toe Repair
- aetna-0637Osteochondral Autografts (Mosaicplasty, OATS)
- aetna-0638Donor Lymphocyte Infusion
- aetna-0639Autotransfusers
- aetna-0640Hematopoietic Cell Transplantation for Selected Leukemias
- aetna-0641Adoptive Immunotherapy and Cellular Therapy
- aetna-0642Neuralgia Inducing Cavitational Osteonecrosis (NICO) and Ultrasonograph Bone Densitometer…
- aetna-0643Diagnosis of Vaginitis
- aetna-0644Orthopoxvirus Vaccines
- aetna-0645Total Ankle Arthroplasty
- aetna-0646Voice Therapy
- aetna-0647Histamine Desensitization Therapy for Intractable Headaches
- aetna-0648Autism Spectrum Disorders
- aetna-0649Extracorporeal Shock-Wave Therapy for Musculoskeletal Indications
- aetna-0650Polymerase Chain Reaction Testing: Selected Indications
- aetna-0651Endovascular Repair of Aortic Diseases
- aetna-0652Therapeutic Phlebotomy
- aetna-0653Diphtheria, Tetanus, and Pertussis Vaccines
- aetna-0654Ventricular Assist Devices
- aetna-0655Adalimumab
- aetna-0656Phototherapy for Acne
- aetna-0657Tubal Sterilization
- aetna-0659Ibritumomab Tiuxetan (Zevalin)
- aetna-0660Unicompartmental, Bicompartmental, and Bi-unicompartmental Knee Arthroplasties
- aetna-0661Joint Resurfacing
- aetna-0662Antiprothrombin Antibody Testing
- aetna-0663Cerebral Perfusion Studies
- aetna-0664Signal-Averaged Electrocardiography (SAECG) / Artificial Intelligence Algorithmic…
- aetna-0665Constraint-Induced Therapy
- aetna-0666Teriparatide
- aetna-0667Esophageal pH Monitoring
- aetna-0668Auditory Processing Disorder (APD)
- aetna-0669Subtalar Implant for Foot Deformity
- aetna-0670Omalizumab (Xolair)
- aetna-0671Enfuvirtide (Fuzeon)
- aetna-0673Osteoarthritis of the Knee: Selected Treatments
- aetna-0674Hematopoietic Cell Transplantation for Chronic Myelogenous Leukemia
- aetna-0675Bortezomib
- aetna-0676Electrical Stimulation for Nausea, Vomiting and Motion Sickness (PrimaBella and…
- aetna-0677Functional Electrical Stimulation and Neuromuscular Electrical Stimulation
- aetna-0678Gastric Pacing / Electrical Stimulation and Gastroesophageal Per Oral Endoscopic Myotomy
- aetna-0679Levator Syndrome Treatments
- aetna-0680Electrical Stimulation for Chronic Ulcers
- aetna-0681Corneal Pachymetry
- aetna-0682Microwave Thermotherapy
- aetna-0683Oxaliplatin (Eloxatin)
- aetna-0684Cetuximab (Erbitux)
- aetna-0685Bevacizumab for Non-Ocular Indications
- aetna-0685mBevacizumab for Non-Ocular Indications [Medicare]
- aetna-0686Oral Brush Biopsy
- aetna-0687Pemetrexed
- aetna-0688Intra-oral Appliances for Headaches
- aetna-0689Ocular Photoscreening
- aetna-0690Noninvasive Tests for Hepatic Fibrosis
- aetna-0691Exhaled Breath Tests
- aetna-0692Acoustic Heart Sound Recording and Computer Analysis
- aetna-0693Somatostatin Analogs
- aetna-0693mSomatostatin Analogs [Medicare]
- aetna-0694Evaluation of Sinusitis
- aetna-0695Broth Culture Testing for Interstitial Cystitis
- aetna-0696Suit Therapy
- aetna-0697Intraoperative Neurophysiological Monitoring
- aetna-0698Prostate Biopsy
- aetna-0699Dry Hydrotherapy (Hydromassage, Aquamassage, Water Massage)
- aetna-0700Rhinometry and Rhinomanometry
- aetna-0701Vascular Endothelial Growth Factor Inhibitors for Ocular and Selected Indications
- aetna-0701mVascular Endothelial Growth Factor Inhibitors for Ocular and Selected Indications…
- aetna-0702Abdominal Aortic Aneurysm Screening
- aetna-0703Thermal Perfusion Probe for Monitoring Regional Cerebral Blood Flow
- aetna-0704Indirect Measurement of Left Ventricular Filling Pressure (LVFP)
- aetna-0705Body Surface Potential Mapping
- aetna-0706Anecortave Acetate (Retaane)
- aetna-0707Headaches: Invasive Procedures
- aetna-0708Metatarsal Phalangeal Joint Replacement
- aetna-0709Nesiritide (Natrecor)
- aetna-0710Actigraphy and Accelerometry
- aetna-0711Mecasermin (Increlex)
- aetna-0712Ziconotide (Prialt)
- aetna-0713Artificial Retina and Artificial Iris
- aetna-0714Re-breathing of Inert Gas for Measurement of Cardiac Output and Validation of…
- aetna-0715Pharmacogenetic Testing
- aetna-0716Sialolithiasis (Salivary Stones)
- aetna-0717Analysis of Volatile Organic Compounds
- aetna-0718Defecography
- aetna-0719Fluocinolone Acetonide Intra- vitreal Implant (Retisert and Iluvien)
- aetna-0720Abatacept (Orencia)
- aetna-0720mAbatacept (Orencia) [Medicare]
- aetna-0721Intraoperative Radiation Therapy (IORT)
- aetna-0722Selective Nerve Root Blocks
- aetna-0723Rotavirus Vaccine
- aetna-0724Antiemetic Therapy
- aetna-0725Post-Herpetic Neuralgia
- aetna-0726Human Papillomavirus (HPV) Vaccines
- aetna-0728Barrett's Esophagus
- aetna-0729Diabetic Neuropathy: Selected Treatments
- aetna-0730Home Behavioral Healthcare Services
- aetna-0731Convection-Enhanced Intraparenchymal Delivery of Drugs to the Brain
- aetna-0732Guillain-Barre Syndrome Treatments
- aetna-0733Discography
- aetna-0734External Ocular Photography
- aetna-0735Pulsed Radiofrequency
- aetna-0736Femoro-Acetabular Surgery for Hip Impingement Syndrome
- aetna-0737Double Balloon Enteroscopy
- aetna-0738Upper Gastrointestinal Endoscopy and Gastrointestinal Biopsy
- aetna-0739Functional Magnetic Resonance Imaging
- aetna-0740Pralatrexate
- aetna-0741Peripheral Ultrafiltration for Acute Decompensated Heart Failure - CPB 741
- aetna-0742Intermittent Intravenous Insulin Therapy
- aetna-0743Spinal Surgery: Laminectomy and Fusion
- aetna-0744Bronchial Thermoplasty - CPB 744
- aetna-0745Facial Nerve Paralysis
- aetna-0746Ultrasound Therapy for Wound Healing - CPB 746
- aetna-0747Transanal Endoscopic Microsurgery - CPB 747
- aetna-0748Panitumumab (Vectibix)
- aetna-0749Anterior Segment Scanning Computerized Ophthalmic Diagnostic Imaging
- aetna-0750Athletic Pubalgia Surgery
- aetna-0751Natalizumab
- aetna-0751mNatalizumab (Tysabri) [Medicare]
- aetna-0752Obstructive Sleep Apnea in Children
- aetna-0753Core Decompression for Avascular Necrosis
- aetna-0754Chronic Pelvic Pain, Endometriosis, and Other Indications: Selected Treatments
- aetna-0755Motor Cortex Stimulation
- aetna-0756Epiretinal Radiation Therapy
- aetna-0757Non-Invasive Fetal Membranes Rupture Tests
- aetna-0758Tumor Chemoresistance Assays - CPB 0245
- aetna-0759Vulvodynia and Vulvar Vestibulitis Treatments
- aetna-0760Oral Screening and Lesion Identification Systems
- aetna-0761Certolizumab Pegol (Cimzia)
- aetna-0761mCertolizumab Pegol (Cimzia) [Medicare]
- aetna-0762Repository Corticotropin InjectRepository Corticotropin Injection (Acthar Gel and Purified…
- aetna-0763Homocysteine Testing
- aetna-0765Age-related Macular Degeneration
- aetna-0766High Intensity Focused Ultrasound
- aetna-0767Extended Ophthalmoscopy
- aetna-0768Romiplostim (Nplate)
- aetna-0769Endometrial Cancer Screening, Diagnosis, and Prognosis
- aetna-0770Rilonacept (Arcalyst)
- aetna-0771Procalcitonin (PCT) - CPB 771
- aetna-0772Axial Lumbar Interbody Fusion (AxiaLIF) - CPB 772
- aetna-0773Transplant Immune Cell Function Assays
- aetna-0774Nerve Fiber Density Measurement
- aetna-0775Selected Kidney Function Tests
- aetna-0776Electromagnetic Navigation-guided Bronchoscopy
- aetna-0777Novel Injection Methods
- aetna-0778Robotic-assisted Rehabilitation of the Extremities
- aetna-0779Plerixafor
- aetna-0780ADAMTS13 Assay for Thrombotic Thrombocytopenic Purpura (TTP)
- aetna-0781Interstitial Laser Therapy - CPB 781
- aetna-0782Hereditary Angioedema
- aetna-0783In Vivo Analysis of Gastro-Intestinal and Urotheilial Lesions
- aetna-0784Blood and Adipose Product Injections for Selected Indications
- aetna-0785Peripheral Vascular Stents
- aetna-0786Menaflex
- aetna-0787Comparative Genomic Hybridization (CGH)
- aetna-0788Alzheimer's Disease: Experimental Treatments
- aetna-0789Acute Ischemic Stroke: Treatments
- aetna-0790Golimumab (Simponi)
- aetna-0790mGolimumab (Simponi) [Medicare]
- aetna-0791Cardiac Devices and Procedures for Occlusion of the Left Atrial Appendage
- aetna-0792Human Fibrinogen Concentrate (RiaSTAP and Fibryga) - CPB 792
- aetna-0793Esophageal Doppler Monitoring
- aetna-0794Ofatumumab (Arzerra)
- aetna-0795Dexamethasone Ophthalmic Implant (Ozurdex) and Insert (Dextenza)
- aetna-0796Near-Infrared (NIR) Spectroscopy
- aetna-0797Management of Meibomian Glands
- aetna-0798Distal Interphalangeal (DIP), Metacarpophalangeal (MCP) and Proximal Interphalangeal (PIP)…
- aetna-0799Tocilizumab
- aetna-0799mTocilizumab (Actemra) [Medicare]
- aetna-0800Dupuytren's Contracture: Treatments
- aetna-0801Intra-coronary Hyperoxemic Therapy
- aetna-0802Prostate Cancer Vaccine
- aetna-0803Calcitonin Injection
- aetna-0804Denosumab (Prolia and Xgeva)
- aetna-0804mDenosumab (Prolia and Xgeva) [Medicare]
- aetna-0805Pudendal Nerve Decompression
- aetna-0806Cabazitaxel (Jevtana)
- aetna-0807Eculizumab (Soliris)
- aetna-0808High-Resolution Anoscopy
- aetna-0809Pediatric Intensive Feeding Programs
- aetna-0810Gout
- aetna-0811Hematopoietic Cell Transplantation for Solid Tumors in Adults
- aetna-0812Hypoxic Ischemic Encephalopathy
- aetna-0813Computerized Wheeze Detectors
- aetna-0814Remote Ischemic Conditioning
- aetna-0815Ipilimumab (Yervoy)
- aetna-0816Hand Transplantation
- aetna-0817Lymphangioma and Infantile Hemangioma
- aetna-0818Belimumab (Benlysta)
- aetna-0819Face Transplantation
- aetna-0820Carotid Sinus Stimulation for Hypertension
- aetna-0821Transcatheter Pulmonary Valve Implantation
- aetna-0822Internal Fixation of Rib Fracture
- aetna-0823Brentuximab Vedotin (Adcetris)
- aetna-0824Home Hemoglobin Testing Devices
- aetna-0825Cardiopulmonary Exercise Testing
- aetna-0826Transcatheter Aortic Valve Implantation
- aetna-0827Electric Tumor Treatment Fields
- aetna-0828Irreversible Electroporation (NanoKnife)
- aetna-0829Intra-vascular Optical Coherence Tomography
- aetna-0830Hematopoietic Cell Transplantation for Primary Immunodeficiency Disorders
- aetna-0831Eribulin Mesylate (Halaven)
- aetna-0832Implantable Left Atrial Hemodynamic Monitor
- aetna-0833Hematopoietic Cell Transplantation for Waldenstrom Macroglobulinemia
- aetna-0834Paclitaxel, Albumin-Bound
- aetna-0834mPaclitaxel, Albumin-Bound (Abraxane) [Medicare]
- aetna-0835Hepatitis Screening
- aetna-0836Hematopoietic Cell Transplantation for Myelodysplastic Syndrome
- aetna-0837Shoulder Arthroplasty
- aetna-0838Stem Cell Transplantation for Myelofibrosis
- aetna-0840Devices for Post-Operative Use Following Endoscopic Sinus Surgery
- aetna-0841Non-invasive Measurement of Advanced Glycation End-products
- aetna-0842Ziv-Aflibercept (Zaltrap)
- aetna-0843Ablative Procedures for Prostate Cancer
- aetna-0844Fecal Bacteriotherapy
- aetna-0845Carfilzomib (Kyprolis)
- aetna-0845mCarfilzomib (Kyprolis) [Medicare]
- aetna-0846Near-Infrared Vascular Imaging and Near- Infrared Fluorescence Imaging
- aetna-0847Radiofrequency Ablation of the Renal Sympathetic Nerve
- aetna-0848Ocriplasmin (Jetrea)
- aetna-0849Teduglutide (Gattex)
- aetna-0850Brachial Plexus Surgery
- aetna-0851Palifermin (Kepivance)
- aetna-0852Neurogenic Bladder: Selected Treatments
- aetna-0853Wrist Arthroplasty
- aetna-0854Electroretinography
- aetna-0856Embolization: Selected Procedures
- aetna-0857Elbow Arthroplasty
- aetna-0858Organ Prolapse: Selected Procedures
- aetna-0859Winged Scapula
- aetna-0860Critical Flicker Fusion
- aetna-0862Myopathy: Selected Tests
- aetna-0863Nerve Blocks
- aetna-0864Asparaginase Erwinia Chrysanthemi (Recombinant)-rywn (Rylaze)
- aetna-0865Romidepsin
- aetna-0866Rheumatic Diseases: Selected Tests
- aetna-0867Clofarabine (Clolar)
- aetna-0868Decitabine
- aetna-0869Ixabepilone (Ixempra)
- aetna-0870Automated Audiometry
- aetna-0871Hematopoietic Cell Transplantation for Inherited Metabolic Disorders and Genetic Diseases
- aetna-0872Omacetaxine Mepesuccinate (Synribo)
- aetna-0873Temsirolimus (Torisel)
- aetna-0874Radium Ra 223 Dichloride (Xofigo)
- aetna-0875Bendamustine (Treanda)
- aetna-0876Temozolomide (Temodar) Injection
- aetna-0877Obinutuzumab (Gazyva)
- aetna-0878Naltrexone Implants
- aetna-0879Quantitative Pupillometry/Pupillography
- aetna-0880Percutaneous Mitral Valve and Triscuspid Valve Repair
- aetna-0881Canakinumab (Ilaris)
- aetna-0882Metreleptin (Myalept)
- aetna-0883Ramucirumab (Cyramza)
- aetna-0884Siltuximab (Sylvant)
- aetna-0885Vedolizumab (Entyvio)
- aetna-0885mVedolizumab (Entyvio) [Medicare]
- aetna-0886Optical Coherence Tomography and Microelastography for Solid Tumors and Other Selected…
- aetna-0887Belinostat (Beleodaq)
- aetna-0888Radiostereometric Analysis for Migration and Wear of Orthopedic Implants
- aetna-0889Levoleucovorin (Fusilev and Khapzory)
- aetna-0890Pembrolizumab (Keytruda)
- aetna-0891Blinatumomab (Blincyto)
- aetna-0892Nivolumab (Opdivo) and Nivolumab and Relatlimab-rmbw (Opdualag)
- aetna-0893Leadless Cardiac Pacemaker
- aetna-0894Recombinant Human Parathyroid Hormone (Natpara)
- aetna-0895Dinutuximab (Unituxin)
- aetna-0896Chemical Aversive Conditioning for Alcoholism
- aetna-0897Mepolizumab (Nucala)
- aetna-0898Necitumumab (Portrazza)
- aetna-0899Elotuzumab (Empliciti)
- aetna-0900Talimogene Laherparepvec (Imlygic)
- aetna-0901Asfotase alfa (Strensiq)
- aetna-0902Irinotecan Liposome Injection (Onivyde) - CPB
- aetna-0903Trabectedin (Yondelis)
- aetna-0904Daratumumab
- aetna-0904mDaratumumab [Medicare]
- aetna-0905Secukinumab (Cosentyx)
- aetna-0906Ostomy Supplies
- aetna-0907Reslizumab (Cinqair)
- aetna-0907mReslizumab (Cinqair) [Medicare]
- aetna-0909Atezolizumab (Tecentriq)
- aetna-0910Buprenorphine Implant and Extended-Release Buprenorphine Injectables
- aetna-0911Gene-Based Therapy for Duchenne Muscular Dystrophy (DMD)
- aetna-0912Ustekinumab
- aetna-0912mUstekinumab (Stelara) [Medicare]
- aetna-0914Bezlotoxumab (Zinplava)
- aetna-0915Nusinersen (Spinraza)
- aetna-0916Avelumab (Bavencio)
- aetna-0917Durvalumab (Imfinzi)
- aetna-0918Edaravone Injection (Radicava)
- aetna-0919Inotuzumab Ozogamicin (Besponsa)
- aetna-0920Tisagenlecleucel (Kymriah)
- aetna-0921Daunorubicin-Cytarabine Liposome (Vyxeos)
- aetna-0922Gemtuzumab Ozogamicin (Mylotarg)
- aetna-0923Copanlisib (Aliqopa)
- aetna-0924Axicabtagene Ciloleucel (Yescarta) - CPB 924
- aetna-0925Benralizumab (Fasenra)
- aetna-0925mBenralizumab (Fasenra) [Medicare]
- aetna-0926Transperineal Placement of Biodegradable Material for Prostate Cancer
- aetna-0927Voretigene Neparvovec-rzyl (Luxturna)
- aetna-0928Optical Coherence Tomography of the Head and Neck
- aetna-0929Lutetium Lu Dotatate (Lutathera) and Lutetium Lu 177 Vipivotide Tetraxetan (Pluvicto)
- aetna-0930Cardiac Contractility Modulation (CCM) Therapy
- aetna-0931Chiari Malformation Decompression Surgery
- aetna-0932Burosumab-twza (Crysvita)
- aetna-0933Pegvaliase-pqpz (Palynziq)
- aetna-0934Epidural Injection Technologies
- aetna-0935Mometasone furoate sinus implant (Sinuva)
- aetna-0936Ibalizumab-uiyk (Trogarzo)
- aetna-0937Sinus Surgeries
- aetna-0938Ketamine for the Treatment of Depression and Other Selected Indications
- aetna-0939Hereditary Transthyretin-Mediated (hATTR) Amyloidosis
- aetna-0940Mogamulizumab-kpkc (Poteligeo)
- aetna-0941Bupivacaine Liposome (Exparel)
- aetna-0942Cemiplimab (Libtayo)
- aetna-0943Moxetumomab Pasudotox-tdfk (Lumoxiti)
- aetna-0944Sufentanil Sublingual Tablet (Dsuvia)
- aetna-0945Vitamin D Assay
- aetna-0946Ravulizumab-cwvz (Ultomiris)
- aetna-0947Tagraxofusp-erzs (Elzonris)
- aetna-0948Emapalumab-lzsg (Gamifant)
- aetna-0949Caplacizumab-yhdp (Cablivi)
- aetna-0950Esketamine (Spravato)
- aetna-0951Brexanolone (Zulresso)
- aetna-0952Ultrasound Guidance - Selected Indications
- aetna-0953Onasemnogene abeparvovec-xioi (Zolgensma)
- aetna-0954Romosozumab-aqqg (Evenity)
- aetna-0954mRomosozumab-aqqg (Evenity) [Medicare]
- aetna-0955Polatuzumab vedotin-piiq (Polivy)
- aetna-0956Docetaxel
- aetna-0957Calaspargase pegol (Asparlas)
- aetna-0958Gemcitabine
- aetna-0959Pegaspargase (Oncaspar)
- aetna-0960Azacitidine
- aetna-0961Givosiran (Givlaari)
- aetna-0962Afamelanotide (Scenesse)
- aetna-0963Luspatercept-aamt (Reblozyl)
- aetna-0964Crizanlizumab-tmca (Adakveo)
- aetna-0965Drug Testing in Pain Management and Substance Use Disorder Treatment
- aetna-0966Fam-trastuzumab Deruxtecan-nxki (Enhertu)
- aetna-0967Enfortumab vedotin-ejfv (Padcev)
- aetna-0968Peanut Immunotherapy
- aetna-0969Isatuximab-irfc (Sarclisa) - CPB
- aetna-0970Eptinezumab-jjmr (Vyepti)
- aetna-0971Sacituzumab govitecan-hziy (Trodelvy)
- aetna-0972Mitomycin (Jelmyto)
- aetna-0973Pertuzumab (Perjeta)
- aetna-0974Ado-trastuzumab emtansine (Kadcyla)
- aetna-0975Inebilizumab-cdon (Uplizna)
- aetna-0976Plasminogen, Human-tvmh (Ryplazim)
- aetna-0977Pertuzumab, Trastuzumab, and Hyaluronidase-zzxf (Phesgo)
- aetna-0978Lurbinectedin (Zepzelca)
- aetna-0979Tafasitamab-cxix (Monjuvi)
- aetna-0980Brexucabtagene Autoleucel (Tecartus)
- aetna-0981Belantamab Mafodotin-blmf (Blenrep)
- aetna-0982Remdesivir (Veklury)
- aetna-0983Lumasiran (Oxlumo)
- aetna-0984Naxitamab-gqgk (Danyelza)
- aetna-0985Margetuximab-cmkb (Margenza)
- aetna-0986Lisocabtagene Maraleucel (Breyanzi)
- aetna-0987Cabotegravir and Rilpivirine (Cabenuva)
- aetna-0988Trilaciclib (Cosela)
- aetna-0989Evinacumab-dgnb (Evkeeza)
- aetna-0990Melphalan Flufenamide (Pepaxto)
- aetna-0991Fosdenopterin (Nulibry)
- aetna-0992Idecabtagene Vicleucel (Abecma)
- aetna-0993Dostarlimab-gxly (Jemperli)
- aetna-0994Loncastuximab Tesirine-lpyl (Zynlonta)
- aetna-0995Amivantamab-vmjw (Rybrevant)
- aetna-0996Aducanumab-avwa (Aduhelm)
- aetna-0997Anifrolumab-fnia (Saphnelo)
- aetna-0998Tisotumab Vedotin-tftv (Tivdak)
- aetna-0999Prescription Digital Therapeutics
- aetna-1000Triamcinolone Acetonide Injectable Suspension (Xipere)
- aetna-1001Sirolimus Protein-Bound Particles for Injectable Suspension Albumin-Bound (Fyarro)
- aetna-1002Efgartigimod Alfa-fcab (Vyvgart) and Efgartigimod Alfa and Hyaluronidase-qvfc (Vyvgart…
- aetna-1003Tezepelumab-ekko (Tezspire)
- aetna-1004Inclisiran (Leqvio)
- aetna-1004mInclisiran (Leqvio) [Medicare]
- aetna-1005Tebentafusp-tebn (Kimmtrak)
- aetna-1006Sutimlimab-jome (Enjaymo)
- aetna-1007Ciltacabtagene Autoleucel (Carvykti)
- aetna-1008Infectious Diseases: Selected Tests
- aetna-1009Risankizumab-rzaa (Skyrizi)
- aetna-1010Dengue Vaccine
- aetna-1011Guselkumab (Tremfya)
- aetna-1011mGuselkumab (Tremfya) [Medicare]
- aetna-1012Tildrakizumab-asmn (Ilumya)
- aetna-1012mTildrakizumab-asmn (Ilumya) [Medicare]
- aetna-1013Spesolimab-sbzo (Spevigo)
- aetna-1014Testosterone Cypionate Injection (Depo-Testosterone)
- aetna-1015Testosterone Enanthate Injection
- aetna-1016Betibeglogene Autotemcel (Zynteglo)
- aetna-1017Elivaldogene Autotemcel (Skysona)
- aetna-1018Teclistamab-cqyv (Tecvayli)
- aetna-1019Tremelimumab-actl (Imjudo)
- aetna-1020Sodium Thiosulfate (Pedmark)
- aetna-1021Mirvetuximab Soravtansine-gynx (Elahere)
- aetna-1022Teplizumab-mzwv (Tzield)
- aetna-1023Etranacogene Dezaparvovec-drlb (Hemgenix)
- aetna-1024Nadofaragene Firadenovec-vncg (Adstiladrin)
- aetna-1025Mosunetuzumab-axgb (Lunsumio)
- aetna-1026Lecanemab-irmb (Leqembi)
- aetna-1027Respiratory Syncytial Virus (RSV) Vaccines for Adult and Maternal Use
- aetna-1028Difelikefalin Injection (Korsuva)
- aetna-1029Pegcetacoplan Intravitreal Injection (Syfovre)
- aetna-1030Retifanlimab-dlwr (Zynyz)
- aetna-1031Tofersen (Qalsody)
- aetna-1032Omidubicel-onlv (Omisirge)
- aetna-1033Beremagene Geperpavec-svdt (Vyjuvek)
- aetna-1034Epcoritamab-bysp (Epkinly)
- aetna-1035Rozanolixizumab-noli (Rystiggo)
- aetna-1036Glofitamab-gxbm (Columvi)
- aetna-1037Valoctocogene Roxaparvovec-rvox (Roctavian)
- aetna-1038Nirsevimab-alip (Beyfortus)
- aetna-1039Venous Stenting for the Treatment of Idiopathic Intracranial Hypertension
- aetna-1040Elranatamab-bcmm (Elrexfio)
- aetna-1041Avacincaptad Pegol (Izervay)
- aetna-1042Talquetamab-tgvs (Talvey)
- aetna-1043Pozelimab-bbfg (Veopoz)
- aetna-1044Daprodustat (Jesduvroq)
- aetna-1045Osseointegration for Lower and Upper Limbs
- aetna-1046Motixafortide (Aphexda)
- aetna-1047Nedosiran (Rivfloza)
- aetna-1048Mirikizumab-mrkz (Omvoh)
- aetna-1049Toripalimab-tpzi (Loqtorzi)
- aetna-1050ADAMTS13, Recombinant-krhn (Adzynma)
- aetna-1051Cantharidin (Ycanth)
- aetna-1052Exagamglogene Autotemcel (Casgevy)
- aetna-1053Lovotibeglogene Autotemcel (Lyfgenia)
- aetna-1054Wound Care: Home or Outpatient Setting
- aetna-1055Allogeneic Processed Thymus Tissue-agdc (Rethymic)
- aetna-1056Lifileucel (Amtagvi)
- anthem-admin-00001Medical Policy Formation
- anthem-admin-00002Preventive Health Guidelines
- anthem-admin-00004Medical Necessity Criteria
- anthem-admin-00005Investigational Criteria
- anthem-admin-00006Review of Services for Benefit Determinations in the Absence of a Company Applicable…
- anthem-admin-00007Immunizations
- anthem-anc-00006Biomagnetic Therapy
- anthem-anc-00007Cosmetic and Reconstructive Services: Skin Related
- anthem-anc-00008Cosmetic and Reconstructive Services of the Head and Neck
- anthem-anc-00009Cosmetic and Reconstructive Services of the Trunk, Groin, and Extremities
- anthem-cg-admin-01Clinical Utilization Management (UM) Guideline for Pre-Payment Review Medical Necessity…
- anthem-cg-anc-03Acupuncture
- anthem-cg-anc-04Ambulance Services: Air and Water
- anthem-cg-anc-05Ambulance Services: Ground; Emergent
- anthem-cg-anc-06Ambulance Services: Ground; Non-Emergent
- anthem-cg-anc-07Inpatient Interfacility Transfers
- anthem-cg-anc-08Mobile Device-Based Health Management Applications
- anthem-cg-beh-02Adaptive Behavioral Treatment
- anthem-cg-beh-14Intensive In-home Behavioral Health Services
- anthem-cg-beh-15Activity Therapy for Autism Spectrum Disorders and Rett Syndrome
- anthem-cg-dme-03Neuromuscular Stimulation in the Treatment of Muscle Atrophy
- anthem-cg-dme-04Transcutaneous Electrical Nerve Stimulation
- anthem-cg-dme-05Cervical Traction Devices for Home Use
- anthem-cg-dme-06Compression Devices for Lymphedema
- anthem-cg-dme-07Augmentative and Alternative Communication (AAC) Devices with Digitized or Synthesized…
- anthem-cg-dme-08Infant Home Apnea Monitors
- anthem-cg-dme-09Continuous Local Delivery of Analgesia to Operative Sites using an Elastomeric Infusion…
- anthem-cg-dme-10Durable Medical Equipment
- anthem-cg-dme-12Home Phototherapy Devices for Neonatal Hyperbilirubinemia
- anthem-cg-dme-13Lower Limb Prosthesis
- anthem-cg-dme-15Hospital Beds and Accessories
- anthem-cg-dme-16Pressure Reducing Support Surfaces - Groups 1, 2 & 3
- anthem-cg-dme-18Home Oxygen Therapy
- anthem-cg-dme-19Therapeutic Shoes, Inserts, or Modifications for Individuals with Diabetes
- anthem-cg-dme-20Orthopedic Footwear
- anthem-cg-dme-21External Infusion Pumps for the Administration of Drugs in the Home or Residential Care…
- anthem-cg-dme-22Ankle-Foot & Knee-Ankle-Foot Orthoses
- anthem-cg-dme-23Lifting Devices for Use in the Home
- anthem-cg-dme-24Wheeled Mobility Devices: Manual Wheelchairs - Standard, Heavy Duty and Lightweight
- anthem-cg-dme-25Seat Lift Mechanisms
- anthem-cg-dme-26Back-Up Ventilators in the Home Setting
- anthem-cg-dme-30Prothrombin Time Self-Monitoring Devices
- anthem-cg-dme-31Powered Wheeled Mobility Devices
- anthem-cg-dme-33Wheeled Mobility Devices: Manual Wheelchairs-Ultra-Lightweight
- anthem-cg-dme-34Wheeled Mobility Devices: Wheelchair Accessories
- anthem-cg-dme-35Electric Breast Pumps
- anthem-cg-dme-36Pediatric Gait Trainers
- anthem-cg-dme-37Air Conduction Hearing Aids
- anthem-cg-dme-39Dynamic Low-Load Prolonged-Duration Stretch Devices
- anthem-cg-dme-40Noninvasive Electrical Bone Growth Stimulation of the Appendicular Skeleton
- anthem-cg-dme-41Ultraviolet Light Therapy Delivery Devices for Home Use
- anthem-cg-dme-42Continuous Glucose Monitoring Devices
- anthem-cg-dme-43High Frequency Chest Compression Devices for Airway Clearance
- anthem-cg-dme-44Electric Tumor Treatment Field (TTF)
- anthem-cg-dme-45Ultrasound Bone Growth Stimulation
- anthem-cg-dme-46Pneumatic Compression Devices for Prevention of Deep Vein Thrombosis of the Extremities in…
- anthem-cg-dme-47Noninvasive Home Ventilator Therapy for Respiratory Failure
- anthem-cg-dme-48Vacuum Assisted Wound Therapy in the Outpatient Setting
- anthem-cg-dme-49Standing Frames
- anthem-cg-dme-50Automated Insulin Delivery Systems
- anthem-cg-dme-51External Insulin Pumps
- anthem-cg-dme-52Continuous Passive Motion Devices in the Home Setting
- anthem-cg-dme-53Biomechanical Footwear Therapy
- anthem-cg-dme-54Mechanical Insufflation-Exsufflation Devices
- anthem-cg-dme-55Automated External Defibrillators for Home Use
- anthem-cg-lab-03Tropism Testing for HIV Management
- anthem-cg-lab-09Drug Testing or Screening in the Context of Substance Use Disorder and Chronic Pain
- anthem-cg-lab-10Zika Virus Testing
- anthem-cg-lab-11Screening for Vitamin D Deficiency in Average Risk Individuals
- anthem-cg-lab-12Testing for Oral and Esophageal Cancer
- anthem-cg-lab-13Skin Nerve Fiber Density Testing
- anthem-cg-lab-14Respiratory Viral Panel Testing in the Outpatient Setting
- anthem-cg-lab-15Red Blood Cell Folic Acid Testing
- anthem-cg-lab-16Serum Amylase Testing
- anthem-cg-lab-17Molecular Gastrointestinal Pathogen Panel (GIPP) Testing for Infectious Diarrhea in the…
- anthem-cg-lab-19Laboratory Evaluation of Vitamin B12
- anthem-cg-lab-20Thyroid Testing
- anthem-cg-lab-21Serum Iron Testing
- anthem-cg-lab-22Nucleic Acid Amplification Tests Using Algorithmic Analysis for the Diagnosis of Vaginitis
- anthem-cg-lab-24Outpatient Urine Culture
- anthem-cg-lab-25Outpatient Glycated Hemoglobin and Protein Testing
- anthem-cg-lab-26Outpatient Alpha-Fetoprotein Testing
- anthem-cg-lab-27Human Chorionic Gonadotropin Testing
About this dataset
Insurer clinical and medical policies state when a payer covers a device, drug or procedure. Orca1 links each policy to the FDA submissions, trials and articles it cites. Policy text is not reproduced here.
Source: Health insurer clinical and medical policies (insurer as listed); cross-links by Orca1