Aetna policies, page 10

Search Aetna's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

5,481 public policies Substrate tracks for Aetna, by title.

Aetna policies
PolicyDetailsCodesSource
1054-Wound Care: Home or Outpatient Setting1054 · Commercial21Original policy ↗
1055-Allogeneic Processed Thymus Tissue–agdc (Rethymic)1055 · Commercial5Original policy ↗
1056-Lifileucel (Amtagvi)1056 · Commercial14Original policy ↗
1057-Tislelizumab-jsgr (Tevimbra)1057 · Commercial9Original policy ↗
1058-Atidarsagene Autotemcel (Lenmeldy)1058 · Commercial30Original policy ↗
1059-Nogapendekin Alfa Inbakicept-pmln (Anktiva)1059 · Commercial4Original policy ↗
1060-Fidanacogene Elaparvovec-dzkt (Beqvez)1060 · Commercial27Original policy ↗
1061-Collagenase Clostridium Histolyticum (Xiaflex)1061 · Commercial3Original policy ↗
1062-Tarlatamab-dlle (Imdelltra)1062 · Commercial3Original policy ↗
1063-Imetelstat (Rytelo)1063 · Commercial—Original policy ↗
1064-Crovalimab-akkz (PiaSky)1064 · Commercial7Original policy ↗
1065-Intracameral Implants1065 · Commercial7Original policy ↗
1067-Toxicology: Per- and Polyfluoroalkyl Substances (PFAS) Testing1067 · Commercial5Original policy ↗
1068-Afamitresgene Autoleucel (Tecelra)1068 · Commercial6Original policy ↗
1069-Axatilimab-csfr (Niktimvo)1069 · Commercial3Original policy ↗
1071-Zolbetuximab-clzb (Vyloy)1071 · Commercial7Original policy ↗
1072-Obecabtagene Autoleucel (Aucatzyl)1072 · Commercial7Original policy ↗
1073-Eladocagene Exuparvovec-tneq (Kebilidi)1073 · Commercial10Original policy ↗
1074-Cosibelimab-ipdl (Unloxcyt)1074 · Commercial3Original policy ↗
1075-Zanidatamab-hrii (Ziihera)1075 · Commercial30Original policy ↗
1076-Zenocutuzumab-zbco (Bizengri)1076 · Commercial3Original policy ↗
1077-Remestemcel-L-rknd (Ryoncil)1077 · Commercial19Original policy ↗
1078-Datopotamab Deruxtecan-dlnk (Datroway)1078 · Commercial7Original policy ↗
1080-Penpulimab-kcqx1080 · Commercial9Original policy ↗
1081-Human Chorionic Gonadotropin (hCG)1081 · Commercial6Original policy ↗
1082-Follitropins and Menotropins1082 · Commercial5Original policy ↗
1083-Nipocalimab-aahu (Imaavy)1083 · Commercial66Original policy ↗
1084-Prademagene Zamikeracel (Zevaskyn)1084 · Commercial7Original policy ↗
1085-Telisotuzumab Vedotin-tllv (Emrelis)1085 · Commercial4Original policy ↗
1086-Mitomycin Intravesical Solution (Zusduri)1086 · Commercial2Original policy ↗
1087-Anacaulase-bcdb (Nexobrid)1087 · Commercial5Original policy ↗
1088-Clesrovimab-cfor (Enflonsia)1088 · Commercial8Original policy ↗
1089-Linvoseltamab-gcpt (Lynozyfic)1089 · Commercial13Original policy ↗
1090-Zopapogene Imadenovec-drba (Papzimeos)1090 · Commercial2Original policy ↗
1091-Therapeutic Drug Monitoring of Anti-Tumor Necrosis Factor Blocking Agents1091 · Commercial23Original policy ↗
1092-Median Arcuate Ligament Syndrome: Treatment1092 · Commercial20Original policy ↗
1093-Remote Physiologic Monitoring (RPM)1093 · Commercial14Original policy ↗
1094-Knee Braces1094 · Commercial63Original policy ↗
1096-Plozasiran (Redemplo)1096 · Commercial2Original policy ↗
1097-Etuvetidigene Autotemcel (Waskyra)1097 · Commercial22Original policy ↗
1098-Depemokimab-ulaa (Exdensur)1098 · Commercial49Original policy ↗
1099-Narsoplimab-wuug (Yartemlea)1099 · Commercial25Original policy ↗
1100-Behavioral Health: Group Psychotherapy1100 · Commercial3Original policy ↗
1102-Marnetegragene Autotemcel (Kresladi)1102 · Commercial48Original policy ↗
1103-Lunsotogene Parvec-cwha (Otarmeni)1103 · Commercial16Original policy ↗
1104-Medication-Assisted Treatment for Opioid Use Disorder1104 · Commercial13Original policy ↗
[Dental] 001 - Bone Graft Policy001 · Commercial4Original policy ↗
[Dental] 002 - Guided Tissue Regeneration002 · Commercial7Original policy ↗
[Dental] 004 - Clinical Crown Lengthening004 · Commercial, Medicaid1Original policy ↗
[Dental] 005 - Biologic Materials To Aid in Osseous Tissue Regeneration005 · Commercial2Original policy ↗

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Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.