General Criteria for Medically Necessary Laboratory Testing
Defines Cigna's criteria for determining when laboratory tests or panels are medically necessary, not medically necessary, or considered experimental/investigational for Cigna-administered health benefit plans; applies to providers ordering and billing laboratory testing under those plans.
Policy updated and Codes added.
Added a list of tests classified as Considered Experimental/Investigational/Unproven (includes specific U-codes such as 0247U, 0261U, 0384U, 0558U, 0559U).
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.