Aetna policy
Motixafortide (Aphexda)
Motixafortide (Aphexda) is a public Aetna policy (policy 1046). It lists 13 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- Aetna
- Policy number
- 1046
- 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 |
|---|---|
| 38204 | Policies naming 38204 |
| 38206 | Policies naming 38206 |
| 38207 | Policies naming 38207 |
| 38241 | Policies naming 38241 |
| 96401 | Policies naming 96401 |
| C9173 | Policies naming C9173 |
| J1442 | Policies naming J1442 |
| J1447 | Policies naming J1447 |
| J2277 | Policies naming J2277 |
| Q5101 | Policies naming Q5101 |
| Q5110 | Policies naming Q5110 |
| Q5125 | Policies naming Q5125 |
| S2150 | Policies naming S2150 |