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| Wellcare Kentucky Medicaid Clinical | Articular Cartilage Defect Repairs | 2024-02-01 |
| Wellcare Kentucky Medicaid Clinical | Functional MRI | 2024-02-01 |
| Wellcare Hawai'i Medicaid Clinical | Functional MRI | 2024-02-01 |
| BCBS Iowa Medical Policies | Utilization Management Criteria-Surgical-Inpatient Level of Care | 2024-02-01 |
| BCBS Iowa Medical Policies | Dermatologic Applications of Photodynamic Therapy | 2024-02-01 |
| BCBS Iowa Medical Policies | Homocysteine Testing | 2024-02-01 |
| BCBS Iowa Medical Policies | Measurement of Serum Antibodies to Selected Biologic Agents | 2024-02-01 |
| BCBS Iowa Medical Policies | Vitamin D Testing | 2024-02-01 |
| BCBS South Dakota Medical Policies | Utilization Management Criteria-Surgical-Inpatient Level of Care | 2024-02-01 |