Medical Policy

Pain Management of Peripheral Nerves by Injection

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Palonosetron (Aloxi)

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Pancreas Transplantation

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Pap Smears with Medical Conditions

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Partial and Total Hip Resurfacing Arthroplasty

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Pegaspargase (Oncaspar), Asparaginase Erwinia Chrysanthemi (Erwinaze), and Calaspargase Pegol-mknl (Asparlas)

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Pegloticase (Krystexxa)

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Pemetrexed (Alimta)

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Percutaneous Balloon Kyphoplasty, Radiofrequency Kyphoplasty, and Mechanical Vertebral Augmentation

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Percutaneous Discectomy

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Percutaneous Intradiscal Electrothermal Annuloplasty, Radiofrequency Annuloplasty, and Biacuplasty

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Percutaneous Vertebroplasty

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Percutaneous Vertebroplasty and Sacroplasty

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Pertuzumab (Perjeta)

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Pharmacogenetic Testing for Pain Management

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Pharmacologic Treatment of Pulmonary Arterial Hypertension

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Pheresis Therapy

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Photodynamic Therapy (PDT) with Porfimer Sodium

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Photography

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Physical Therapy (PT)

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Plerixafor (Mozobil)

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Pneumatic Compression Devices

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Polatuzumab vedotin-piiq (Polivy)

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Polysomnography (PSG) for Non-Respiratory Sleep Disorders

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Portable External Infusion Pump

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Posterior Tibial Nerve Stimulation

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Powered Exoskeletal Robotic Systems

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Programmed Death Receptor (PD-1) / Programmed Death-Ligand (PD-L1) Blocking Antibodies

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Prophylactic Mastectomy

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Proton Beam Radiation Therapy – FM HomeBuilders Consortium only

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Proton Beam Therapy 2019

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