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Aetna Ends Payment for Professional Component

Insurer says it will stop out-of-network payments for pathology review of clinical laboratory tests

CEO SUMMARY: As of Aug. 1, Aetna will stop paying out-of-network pathologists for the professional component review of certain clinical pathology tests. Until now, the health insurer has paid for the professional component when out-of-network labs billed for clinical lab tests using the modifier 26. In a notice to labs, Aetna said it will pay …

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