Aetna policy
0889-Levoleucovorin (Khapzory)
0889-Levoleucovorin (Khapzory) is a public Aetna policy (policy 0889). It lists 12 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- Aetna
- Policy number
- 0889
- Line of business
- Commercial
- Source
- www.aetna.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.
| Code | Other Aetna policies |
|---|---|
| 96365 | Policies naming 96365 |
| 96368 | Policies naming 96368 |
| J0640 | Policies naming J0640 |
| J0641 | Policies naming J0641 |
| J0642 | Policies naming J0642 |
| J8610 | Policies naming J8610 |
| J8611 | Policies naming J8611 |
| J8612 | Policies naming J8612 |
| J9190 | Policies naming J9190 |
| J9250 | Policies naming J9250 |
| J9255 | Policies naming J9255 |
| J9260 | Policies naming J9260 |