C9170 Inj, tarlatamab-dlle, 1 mg

Payer policies and prior authorization for C9170

Payer coverage policies that name C9170

C9170 appears in 2 coverage policies from Aetna, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).

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.