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| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Genetic Testing Kidney Disorders | 2022-02-01 |
| BCBS Iowa Medical Policies | Aduhelm | 2022-02-01 |
| BCBS South Dakota Medical Policies | Aduhelm | 2022-02-01 |
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| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Evolocumab | 2022-02-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Pulse Oximetry with Office Visits (CC.PP.025) | 2022-02-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Unbundled Professional Services (CC.PP.043) | 2022-02-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Protein C Concentrate, Human | 2022-02-01 |
| Ambetter Health Texas Wellcare Allwell Medicare Clinical | Tobramycin | 2022-02-01 |