CommercialReimbursementMedium impact
June 2026 newsletter
Aetna·Radiology·Newsletter
Effective date
Sep 1, 2026
We identified it
May 28, 2026
Summary
Aetna's June 2026 newsletter announces multiple changes: new claim edits starting September 1, 2026, a 15% payment reduction for radiology services with modifier CT effective September 1, 2026, and updated commercial drug lists effective October 1, 2026.
Action Required
By September 1, 2026: Billing team must prepare for new claim edits in the Claim and Code Review Program by monitoring the Availity provider portal for edit details. Radiology billing staff must update payment expectations for services billed with modifier CT to account for 15% reduction. By October 1, 2026: Update billing systems with new commercial drug formulary changes when they become available.