View Medical Policies

Showing 241– 260 of 292 Results
Title Last Updated Category
Cochlear Implants and Auditory Brainstem Implants Open a PDF 7.01.26 2021-06-21 Ear, Nose & Throat (Otorhinolaryngology)
Clinical Trials Open a PDF 11.01.10 2021-07-13 Miscellaneous
CIRCULATING TUMOR DNA for MANAGEMENT of CANCER (Liquid Biopsy) Open a PDF 7.01.102 2020-11-24 Lab Tests (pathology)
Chromosomal Microarray (CMA) Analysis for Prenatal Evaluation and Evaluation of Patients with Developmental Delay/ Intellectual Disability or Autism Spectrum Disorder Open a PDF 2.02.42 2021-01-19 Genetic Disease (Inherited Disease)
Chiropractic Care (Effective 2021-10-20) Open a PDF 10.01.02 2021-07-13 Chiropractic
Chiropractic Care Open a PDF 10.01.02 2020-05-13 Chiropractic
Chelation Therapy (e.g., EDTA, Endrate, Desferal, BAL in oil, Cuprimine, Depen, Zinecard, Exjade, Post-chelator Challeng Urinary Metal Testing, Post-provocation urinary metal testing) Open a PDF 8.01.03 2020-11-24 Blood Disorders (Hematology)
Cervical Traction Devices for Home Use Open a PDF 1.01.47 2021-05-21 Durable Medical Equipment & Supplies
Cervical Cancer Screening and Human Papilloma Virus (HPV) Testing (e.g., Cervista™, Cobas® HPV test, DNA with PAP, HPV, HPV DNA testing, Human Papillomavirus, HC 2, Hybrid Capture 2, Pap/ Papanicolaou smear: Direct visualization, Monolayer, Optical; FocalPoint™, MonoPrep Pap Test (MPPT), PapSure®, Speculite®, Speculoscopy, SurePath, ThinPrep®) Open a PDF 2.02.04 2021-04-19 Women's Health (Obstetrics & Gynecology)
Cardiovascular Disease Risk Assessment - Laboratory Evaluation of Lipids: Apolipoprotein A-1, B, and E, Lipoprotein (a) Enzyme Immunoassay Open a PDF 2.02.29 2020-12-16 Lab Tests (pathology)
Cardiac/Coronary Computed Tomographic Angiography (Cardiac/Coronary CTA) Contrast-Enhanced Open a PDF 6.01.34 2021-09-16 Radiology (x-rays) & Imaging
Cardiac Resynchronization Therapy (Biventricular Pacemakers) for the Treatment of Heart Failure Open a PDF 7.01.58 2021-09-16 Heart & Blood Vessels (Cardiovascular)
Cardiac Rehabilitation Open a PDF 8.01.14 2020-11-30 Therapy & Rehabilitation
Bulking Agents for Treatment of Urinary or Fecal Incontinence Open a PDF 7.01.22 2021-06-21 Urinary System (Genitourinary)
Bronchial Thermoplasty (e.g., Alair® System) Open a PDF 7.01.88 2021-02-16 Lungs (Respiratory)
Breast Reconstruction Surgery Open a PDF 10.01.01 2021-09-16 Cosmetic / Reconstructive Surgery
Breast Pumps Open a PDF 1.01.39 2021-05-21 Durable Medical Equipment & Supplies
Brachytherapy or Radioactive Seed Implantation for Prostate Cancer Open a PDF 6.01.16 2020-12-16 Radiation Treatment
Brachytherapy After Breast-Conserving Surgery, as Boost with Whole Breast Irradiation or Alone as Accelerated Partial Breast Irradiation Open a PDF 6.01.30 2021-05-18 Radiation Treatment
Bone Growth Stimulators Open a PDF 1.01.53 2021-05-21 Bone & Joints (Orthopedic)
Showing 241– 260 of 292 Results
IE Browser Modal