For Medicare criteria, see Medicare Part B Criteria. Note: Requires Precertification: Precertification of certolizumab pegol (Cimzia) is required of all Aetna participating providers and members in applicable plan designs. For precertification, call (866) 752-7021 or fax (888) 267-3277. For St...
2010Aetnawillpaymid-levelpractitionersat85percent*o,thecontractedrates,orcoveredpro,essionalservices.ThisisconsistentwiththeCenters,orMedicare&MedicaidServicespaymentpolicy.Underthispolicy,Aetnawillallowpaymentatthe,ullcontractedrate,orservicesthatareprovidedinaccordancewiththeMedicarede,nitiono,“incidentto”andare...