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Showing 1– 20 of 292 Results
Title Last Updated Category
Nuclear Breast Imaging: Breast Specific Gamma Camera, BSGI, Gammagram, Miraluma, Radioimmunoscintigraphy, Scintigraphy, Scintimammography Open a PDF 6.01.02 2018-04-18 Radiology (x-rays) & Imaging
CT (Computed Tomography) Perfusion Imaging, Dynamic Perfusion CT, Multimodal CT, Perfusion CT, Xenon-enhanced CT (XeCT) Open a PDF 6.01.37 2018-04-18 Radiology (x-rays) & Imaging
Implantable Cardioverter-Defibrillator (AICD, Automatic ICD, Biventricular ICD, Dual-chamber ICD, ICD) Open a PDF 7.01.06 2018-04-18 Heart & Blood Vessels (Cardiovascular)
Mammography: Digital Breast Tomosynthesis Open a PDF 6.01.22 2018-09-10 Radiology (x-rays) & Imaging
Autologous Hematopoietic Stem Cell Transplantation, Autologous Bone Marrow Transplant Open a PDF 7.02.03 2019-01-02 Transplants
Allogeneic Hematopoietic Stem Cell Transplantation Open a PDF 7.02.02 2019-01-02 Transplants
Private Rooms Open a PDF 12.01.06 2019-01-17 Miscellaneous
Medically Necessary Services Open a PDF 11.01.15 2019-01-17 Miscellaneous
Clinical Trials Open a PDF 11.01.10 2019-01-17 Miscellaneous
Home Exercise/Physical Therapy Equipment (e.g., Home Gym, Jacuzzi) Open a PDF 1.01.12 2019-01-17 Home Care
Vision/Eye Therapy: Optometric Phototherapy, Occlusion Therapy, Orthoptics, Pleoptics Open a PDF 9.01.04 2019-01-17 Eyes (Ophthalmology)
Augmentative and Alternative Communication Systems: AAC, Dynavox, Introtalker, VoiceMate, Walker Talker, Say-It-All, Speech Generating Devices (SGD) Open a PDF 1.01.03 2019-01-17 Durable Medical Equipment & Supplies
Treatment of Hirsutism/Hypertrichosis (Hair Removal) (e.g., Electrolysis, Epilation) Open a PDF 2.01.38 2019-01-17 Cosmetic / Reconstructive Surgery
Alopecia (e.g., Areata, Androgenic, Scarring), Baldness, Hair Loss Open a PDF 2.01.36 2019-01-17 Cosmetic / Reconstructive Surgery
Cranial Orthotics/Helmet for Asymmetry (e.g., Dynamic Orthotic Cranioplasty, DOC) Open a PDF 1.01.32 2019-01-17 Children's Health (Pediatrics)
Auditory Processing Disorder (APD) Testing Open a PDF 2.01.39 2019-01-17 Ear, Nose & Throat (Otorhinolaryngology)
Temporomandibular Joint (TMJ) Disease Open a PDF 11.01.17 2019-01-17 Bone & Joints (Orthopedic)
Transcranial Magnetic Stimulation: Deep TMS device, MagVita TMS, NeuroStar TMS device, rTMS, TMS Open a PDF 3.01.09 2019-01-17 Behavioral Health (Psychology)
Group Therapy for Mental Health Open a PDF 3.01.08 2019-01-17 Behavioral Health (Psychology)
Coverage for Ambulatory Surgery Unit (ASU) and Anesthesia for Dental Surgery Open a PDF 7.03.01 2019-01-17 Anesthesiology
Showing 1– 20 of 292 Results