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Aetna Non-covered Lab code list

Aetna plans do not cover laboratory tests that are considered experimental or investigational, even when these studies are ordered by a participating physician. The below listed code are some of the most commonly ordered experimental or investigational lab tests.

Homocysteine cardiovascular test (83090)

Lipoprotein (A) (83695)

Immunoassay for tumor antigen, quantitative CA 19-9 (86301)

Infectious agent detection by nucleic acid (DNA or RNA); Papillomavirus, human, amplified probe technique (87621)

PCR test for Lyme disease (87476)

VAP cholesterol test (83701)

Reference: http://www.aetna.com/provider/data/OLU_SE_DEC2010_v4.pdf

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