CPT 0201T · Vertebral Augmentation · Humana Healthy Horizons in Florida

Sacroplasty — Bilateral at Humana Healthy Horizons in Florida.

How Humana Healthy Horizons in Florida approaches CPT 0201T (Sacroplasty — Bilateral) for prior-authorization review: at last review on 2026-05-06, the policy does not cover this code with prior authorization required.

Free with practitioner sign-in — magic-link email auth, no credit card.

Coverage Not covered

Prior auth Prior auth required

InvestigationalInvestigational / experimental

Last reviewed 2026-05-06

Policy numberHumana MCP (Cat III / unproven technology)

Criteria summary

High-level themes from the Humana Healthy Horizons in Florida policy of record for CPT 0201T. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: HHH-FL adopts Humana corporate position: Sacroplasty — Bilateral (CPT 0201T) considered investigational/not medically necessary per Humana clinical evidence review

See the full Humana Healthy Horizons in Florida criteria.

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Sacroplasty — Bilateral at Humana Healthy Horizons in Florida.

Criteria summary

See the full Humana Healthy Horizons in Florida criteria.

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