Medical and Payment Policies

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Medical
Reflectance Confocal Microscopy for Evaluating Skin Lesions for Suspected Malignancy
Retinal Telescreening for Diabetic Retinopathy
Rhinomanometry and Acoustic Optical Rhinometry
Routine Foot Care and Nail Debridement
Payment
Rabies Treatment: Pre and Post Exposure
Radiopharmaceuticals
Prior Authorization
Radicava (Edaravone)
Radioembolization for Primary and Metastatic Tumors of the Liver
Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors
Radium-223, Xofigo for Treatment of Metastatic Castration-Resistant Prostate Cancer
Removal of Non-Covered Implantable Devices
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