Aetna policies
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.
Checking prior authorization for Q5110? Open Aetna’s official lists and confirm the member’s product there.
7 policies name Q5110, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Motixafortide (Aphexda) | 1046 · Commercial | 13 | Original policy ↗ |
| 0779-Plerixafor | 0779 · Commercial | 15 | Original policy ↗ |
| Donor Lymphocyte Infusion | 0638 · Commercial | 17 | Original policy ↗ |
| 0978-Lurbinectedin (Zepzelca) | 0978 · Commercial | 53 | Original policy ↗ |
| Hematopoietic Colony-Stimulating Factors (CSFs) | 0055 · Commercial | 91 | Original policy ↗ |
| Participating provider precertification list for Aetna® | 1013000-01-35 · Effective Nov 1, 2025 · Commercial | 1,389 | Original policy ↗ |
| Participating provider precertification list for Aetna® | Effective Jan 1, 2026 · Commercial | 1,440 | Original policy ↗ |