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Genetic Testing for Hereditary BRCA Mutations
Open a PDF
2.02.06
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2023-03-15 |
Genetic Disease (Inherited Disease)
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Genetic Testing for Germline Mutations of the RET Proto Oncogene in Medullary Carcinoma of the Thyroid
Open a PDF
2.02.07
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2023-01-13 |
Genetic Disease (Inherited Disease)
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Genetic Testing for Familial Alzheimer's Disease
Open a PDF
2.02.16
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2022-07-19 |
Genetic Disease (Inherited Disease)
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Genetic Testing for Cystic Fibrosis
Open a PDF
2.02.17
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2022-08-18 |
Genetic Disease (Inherited Disease)
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Genetic Testing for Cardiac Ion Channelopathies
Open a PDF
2.02.38
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2022-06-15 |
Genetic Disease (Inherited Disease)
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Genetic Assay of Tumor Tissue to Determine Prognosis of Breast Cancer (Oncotype Dx Breast Recurrence Score, MammaPrint)
Open a PDF
2.02.27
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2023-02-15 |
Genetic Disease (Inherited Disease)
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Gene Expression Profiling for Cutaneous Melanoma
Open a PDF
2.02.52
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2022-11-18 |
Cancer Treatment (Oncology)
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Gene Expression Analysis for Prostate Cancer Management
Open a PDF
2.02.48
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2023-02-20 |
Genetic Disease (Inherited Disease)
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Gender Reassignment/Gender Affirming Surgery and Treatments for Medicaid Managed Care Plan (MMCP) and Health and Recovery Plan (HARP) Members
Open a PDF
7.01.105
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2023-02-15 |
Miscellaneous
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Gender Affirming Surgery and Treatments for Commercial and Medicare Advantage Members
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7.01.84
|
2023-03-07 |
Miscellaneous
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Gastric Electrical Stimulation
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7.01.64
|
2023-02-15 |
Digestive System (Gastroenterology)
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Foot Orthotics
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1.01.41
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2022-07-15 |
Feet (Podiatry)
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Focal Therapies for Prostate Cancer Treatment
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7.01.01
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2023-03-16 |
Urinary System (Genitourinary)
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Flow Cytometry
Open a PDF
2.02.57
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2022-08-18 |
Lab Tests (pathology)
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First Trimester Screening for Down Syndrome
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2.02.25
|
2022-09-30 |
Lab Tests (pathology)
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Fecal Bacteriotherapy
Open a PDF
2.01.48
|
2022-12-22 |
Digestive System (Gastroenterology)
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Family Therapy for Individuals with a Diagnosis of Mental Illness and/or Substance Use Disorder
Open a PDF
3.01.05
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2023-03-15 |
Behavioral Health (Psychiatry/Psychology)
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Extracranial Carotid and Vertebral Artery Angioplasty and Stents
Open a PDF
7.01.60
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2022-04-21 |
Heart & Blood Vessels (Cardiovascular)
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Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions and Soft Tissue Wounds
Open a PDF
2.01.31
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2022-04-21 |
Bone & Joints (Orthopedic)
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