Avalon Laboratory Testing Policies
Last Updated: Friday, October 23, 2026
Highmark is working with Avalon Healthcare Solutions for laboratory oversight. The laboratory testing policies are accessible through the the button below. Application of criteria is dependent upon an individual’s plan at the time of the request. If there is a conflict between this Policy and any relevant, applicable government policy [e.g. Local Coverage Determinations (LCDs) or National Coverage Determinations (NCDs) for Medicare] for a particular member, then the government policy will be used to make the determination.
These policies will be applicable in PA, DE, NY and WV for Commercial and Medicare Advantage business.
