C9136 Factor viii (eloctate)

Injection, factor viii, fc fusion protein, (recombinant), per i.u.

Payer policies and prior authorization for C9136

Payer coverage policies that name C9136

C9136 appears in 2 coverage policies from Aetna, BlueCross BlueShield of South Carolina.

PayerPolicyRole in policyReviewedDocument
AetnaInjectable Medications (0020)listed, no stance (range C8957-C9235)Mar 5, 2026payer document
BlueCross BlueShield of South CarolinaHuman Antihemophilic Factor (AHF) (CAM 20113)listed, no stanceAug 1, 2026payer document

Medicaid fee-for-service

  • WY: $0.00 (professional), effective Jan 1, 2015

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.