Medical Policy

Abatacept (Orencia)

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Actigraphy

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Acupuncture for Pain Management, Nausea and Vomiting, and Opioid Dependence

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Acupuncture for Pain Management, Nausea and Vomiting, and Opioid Dependence

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Ado-trastuzumab emtansine (Kadcyla)

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Adoptive Immunotherapy

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Agalsidase beta (Fabrazyme)

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Alemtuzumab (Lemtrada™)

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Alglucosidase alfa (Lumizyme)

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Allergy Immunotherapy

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Allergy Skin Testing

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Allogeneic And Autologous Hematopoietic Cell Transplantation for Acute Lymphoblastic Leukemia (ALL) in Adults and Children

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Allogeneic Hematopoietic Cell Transplantation for Genetic Diseases and Acquired Anemia

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Allogeneic Hematopoietic Cell Transplantation for Myelodysplastic Syndromes and Myeloproliferative Neoplasms

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Allogeneic Hematopoietic Cell Transplantation for Myelodysplastic Syndromes and Myeloproliferative Neoplasms

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Allogeneic Hematopoietic Stem-Cell Transplantation for Genetic Diseases and Acquired Anemias

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Alpha1-Proteinase Inhibitor Infusions

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Ambulance Services: Air and Water Transportation

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Ambulance Services: Ground Transportation

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Ambulatory and Outpatient Cardiac Hemodynamic Monitoring of Heart Failure

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Ambulatory Blood Pressure Monitoring (ABPM)

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Ambulatory Blood Pressure Monitoring (ABPM)

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Amniotic Membrane and Amniotic Fluid

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Ankle-Foot/Knee-Ankle-Foot Orthosis

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Anser ADA and Anser IFX

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Aqueous Shunts and Stents for Glaucoma

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Arthrocentesis or Needling of Bursa

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Artificial Intervertebral Disc Replacement

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Assays of Genetic Expression in Tumor tissue as a Technique to Determine Prognosis in patients with Breast Cancer

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Assisted Reproductive Technology

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Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions

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Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions

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Autologous Cellular Immunotherapy for Prostate Cancer

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Autologous Chondrocyte Implantation

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Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions

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Autonomic Nervous System Function Testing

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Axial Lumbosacral Interbody Fusion

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