Commercial
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566a6aa9-700e-465f-9152-07c434e222dd.aspx
  
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7/1/2021
e58b0eb9-4cd1-457f-b640-9b45679601a8.aspx
  
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7/1/2021
937f3238-7708-4364-bb64-542f489718a0.aspx
  
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7/1/2021
64a87ebe-6da1-41d2-8cb7-94a7b69a5631.aspx
  
RoutineCostsAssociatedwithQualifyingClinicalTrials07.00.20g07.00.20gMedicine (07)Routine Costs Associated with Qualifying Clinical Trials64a87ebe-6da1-41d2-8cb7-94a7b69a56313103Routine Costs Associated with Qualifying Clinical Trials07.00.204/6/2021 2:00 PM
7/5/2021
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7/12/2021
47f227fe-6c60-405d-bb5b-999f5f0fc990.aspx
  
Enfortumabvedotin-ejfv(Padcev®)08.00.43b08.00.43bPharmacy (08)Enfortumab vedotin-ejfv (Padcev®)47f227fe-6c60-405d-bb5b-999f5f0fc9903281Enfortumab vedotin-ejfv (Padcev®)08.00.436/4/2021 1:00 PM
7/12/2021
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TranscutaneousElectricalNerveStimulators(TENS)andAssociatedSupplies05.00.74f05.00.74fDME (05)Transcutaneous Electrical Nerve Stimulators (TENS) and Associated Suppliesa8c826d3-169d-46c7-acbc-29f6f8a021423294Transcutaneous Electrical Nerve Stimulators (TENS) and Associated Supplies05.00.746/10/2021 2:00 PM
{"3295": {"Id":3295,"MPAttachmentLetter":"A","Title":"ICD 10 Codes","MPPolicyAttachmentInternalSourceId":5307,"PolicyAttachmentPageName":"467db2c9-76cf-4a3d-a6ed-e3940479f7f3"},"3296": {"Id":3296,"MPAttachmentLetter":"A","Title":"ICD-10 Codes","MPPolicyAttachmentInternalSourceId":5482,"PolicyAttachmentPageName":"3578045c-4f13-41c9-9bc1-e6e6a7a7402f"},}
7/12/2021
60179f41-07d0-4f08-9b6f-69c4c1a089b4.aspx
  
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8/9/2021
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MultipleProcedurePaymentReduction(MPPR)onCertainDiagnosticServices00.01.60f00.01.60fAdministrative (00)Multiple Procedure Payment Reduction (MPPR) on Certain Diagnostic Services6f6fec38-15e8-45d6-a756-7ff3232a6ee53218Multiple Procedure Payment Reduction (MPPR) on Certain Diagnostic Services00.01.606/1/2021 1:00 PM
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9/1/2021
f17807dd-a80e-4611-a611-2ad2ab40654a.aspx
  
EvaluationandTreatmentofErectileDysfunction(ED)11.11.01j11.11.01jSurgery (11)Evaluation and Treatment of Erectile Dysfunction (ED)f17807dd-a80e-4611-a611-2ad2ab40654a3293Evaluation and Treatment of Erectile Dysfunction (ED)11.11.016/8/2021 11:00 AM
9/13/2021
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