Aetna policy
1057-Tislelizumab-jsgr (Tevimbra)
1057-Tislelizumab-jsgr (Tevimbra) is a public Aetna policy (policy 1057). It lists 9 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- Aetna
- Policy number
- 1057
- 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 |
|---|---|
| 96413 | Policies naming 96413 |
| 96415 | Policies naming 96415 |
| J9022 | Policies naming J9022 |
| J9023 | Policies naming J9023 |
| J9119 | Policies naming J9119 |
| J9173 | Policies naming J9173 |
| J9271 | Policies naming J9271 |
| J9299 | Policies naming J9299 |
| J9329 | Policies naming J9329 |