CPT 64625 · SI Joint · Aetna Better Health of Maryland
SI Joint RFA (lateral branches) at Aetna Better Health of Maryland.
How Aetna Better Health of Maryland approaches CPT 64625 (SI Joint RFA (lateral branches)) for prior-authorization review: at last review on 2026-04-27, the policy does not cover this code with prior authorization required.
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CPB 0016Criteria summary
High-level themes from the Aetna Better Health of Maryland policy of record for CPT 64625. Verbatim policy text and per-criterion analysis are available after sign-in.
Coverage criteria details available after sign-in.
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