UnitedHealthcare policy
Infliximab (Avsola®, Inflectra®, Remicade®, & Renflexis®)
Infliximab (Avsola®, Inflectra®, Remicade®, & Renflexis®) is a public UnitedHealthcare policy (policy 2026D0004AR, effective Feb 1, 2026). It lists 4 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Payer
- UnitedHealthcare
- Policy number
- 2026D0004AR
- Effective
- Feb 1, 2026
- Line of business
- Commercial
- Source
- www.uhcprovider.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 UnitedHealthcare policies |
|---|---|
| J1745 | Policies naming J1745 |
| Q5103 | Policies naming Q5103 |
| Q5104 | Policies naming Q5104 |
| Q5121 | Policies naming Q5121 |
All UnitedHealthcare policies · UnitedHealthcare prior authorization CPT list