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Showing 251– 275 of 294 Results
Title Last Updated Category
Obstetrical Ultrasound in the Second Trimester Open a PDF 6.01.42 2020-07-17 Women's Health (Obstetrics & Gynecology)
Home Prothrombin Time Monitor (e.g., Acusure™, CoaguChek®, International Normalized Ratio [INR], Prothrombin Time [PTT], Protime, Rubicon®) Policy Open a PDF 1.01.44 2020-07-17 Home Care
Gender Reassignment Surgery: Gender Dysphoria, Gender Identity Disorder (GID), Genital Correction Surgery, Genital Reassignment Surgery, Genital Reconstruction, Gender Realignment Surgery, Gender Confirmation Surgery, Intersex, Transsexualism, Transsexual Surgery Open a PDF 7.01.84 2020-07-17 Miscellaneous
Treatment of Gambling Disorder and Other Repetitive Behaviors Open a PDF 3.01.19 2020-07-17 Behavioral Health (Psychology)
Electrical Stimulation: Transcutaneous Electrical Nerve (TENS), Percutaneous Electrical Nerve (PENS), H-Wave and Interferential Stimulators (IFS), Percutaneous Neuromodulation Therapy, Bionicare® Open a PDF 1.01.01 2020-07-17 Durable Medical Equipment & Supplies
Dental and Oral Care under Medical Plans: Bone Cysts, Odontogenic Cysts, Oral Surgery Open a PDF 7.01.21 2020-07-17 Dental
Dental Inlays and Onlays Open a PDF 13.01.03 2020-07-17 Dental
Dental Implants Open a PDF 13.01.01 2020-07-17 Dental
Dental Crowns and Veneers Open a PDF 13.01.02 2020-07-17 Dental
Cryotherapy, Cold Therapy, Ice Therapy Open a PDF 1.01.21 2020-07-17 Bone & Joints (Orthopedic)
Minimally Invasive Treatments for Benign Prostatic Hyperplasia (BPH) Open a PDF 7.01.104 2020-07-17 Urinary System (Genitourinary)
Vagus Nerve Stimulation and Vagus Nerve Blocking Therapy Open a PDF 7.01.05 2020-07-17 Nervous Systems (Neurology)
Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy Open a PDF 6.01.12 2020-07-17 Radiation Treatment
Prenatal Genetic Testing Open a PDF 4.01.03 2020-07-17 Genetic Disease (Inherited Disease)
Percutaneous Posterior Tibial Nerve Stimulation (PPTNS) Open a PDF 8.01.22 2020-07-17 Nervous Systems (Neurology)
Pelvic Floor Electrical Stimulation as a Treatment for Urinary or Fecal Incontinence Open a PDF 1.01.19 2020-07-17 Urinary System (Genitourinary)
Lumbar Traction Open a PDF 1.01.50 2020-07-17 Bone & Joints (Orthopedic)
Inflammatory Markers of Coronary Artery Disease Risk Open a PDF 2.02.15 2020-07-17 Lab Tests (pathology)
Cryosurgery for Prostate Cancer Open a PDF 7.01.01 2020-07-17 Urinary System (Genitourinary)
Artificial Hearts Open a PDF 7.01.65 2020-07-17 Heart & Blood Vessels (Cardiovascular)
Surgical Stockings (e.g., Gradient Compression/GCS, Jobst, Sigvaris, TEDs) and Compression Garments (e.g., Arm Assist, Belisse Compressure Bra, Lymphedema, Mastectomy, Circaid, Juzo, Reid Sleeves) Open a PDF 1.01.14 2020-07-24 Durable Medical Equipment & Supplies
Foot Orthotics, Arch Supports, Shoe Inserts Open a PDF 1.01.41 2020-07-24 Feet (Podiatry)
Bone Growth Stimulators for the Appendicular Skeleton Open a PDF 1.01.53 2020-04-26 Bone & Joints (Orthopedic)
Bone Growth Stimulators (e.g., Electrical, Osteogenic, Sonic Accelerated Fracture Healing System - SAFHS, Ultrasonic) Open a PDF 7.01.40 2020-07-17 Bone & Joints (Orthopedic)
Nuclear Breast Imaging: Breast Specific Gamma Camera, BSGI, Gammagram, Miraluma, Radioimmunoscintigraphy, Scintigraphy, Scintimammography Open a PDF 6.01.02 2020-03-18 Radiology (x-rays) & Imaging
Showing 251– 275 of 294 Results

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