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| Ambetter Health Texas Superior Medicaid Clinical | Intradiscal Steroid Injections for Pain Management | 2025-07-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Sacroiliac Joint Interventions for Pain Management | 2025-07-01 |
| Ambetter Health Texas Superior Medicaid Clinical | SNRB/TFESI | 2025-07-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Vagus Nerve Stimulation | 2025-07-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Bone-Anchored Hearing Aid | 2025-07-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Diaphragmatic/Phrenic Nerve Stimulation | 2025-07-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Gender-Affirming Procedures | 2025-07-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Intradiscal Steroid Injections for Pain Management | 2025-07-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Lantidra (donislecel): Allogeneic Pancreatic Islet Cellular Therapy | 2025-07-01 |