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97732f74-96a1-4bb1-afbb-1545f50fc384.aspx
  
08.00.62nAbatacept(Orencia®)forInjectionforIntravenousUse08.00.62nPharmacy (08)Abatacept (Orencia®) for Injection for Intravenous Use97732f74-96a1-4bb1-afbb-1545f50fc3844255Abatacept (Orencia®) for Injection for Intravenous Use08.00.62
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12.00.01gAcupuncture12.00.01gMiscellaneous (12)Acupuncture90f4d9f6-e63e-44ce-bb4c-07427876022f5307Acupuncture12.00.01
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08.01.11hAdo-TrastuzumabEmtansine(Kadcyla®)08.01.11hPharmacy (08)Ado-Trastuzumab Emtansine (Kadcyla®)839b21f4-dacb-4c09-ab51-ee66bbe07f5f4879Ado-Trastuzumab Emtansine (Kadcyla®)08.01.11
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08.00.69cAgalsidasebeta(Fabrazyme®)08.00.69cPharmacy (08)Agalsidase beta (Fabrazyme®)62f7ab0b-f175-47c9-a8c3-1b9de01b65215088Agalsidase beta (Fabrazyme®)08.00.69
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12.04.03cAirAmbulanceServices12.04.03cMiscellaneous (12)Air Ambulance Servicesf52d73b7-5d77-4eb0-9121-f79f7ba844124971Air Ambulance Services12.04.03
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08.00.72kAlglucosidasealfa(e.g.,Lumizyme®),Avalglucosidasealfa-ngpt(Nexviazyme®)08.00.72kPharmacy (08)Alglucosidase alfa (e.g., Lumizyme®), Avalglucosidase alfa-ngpt (Nexviazyme® )55b349d1-264d-43aa-9a17-4ece583a69235281Alglucosidase alfa (e.g., Lumizyme®), Avalglucosidase alfa-ngpt (Nexviazyme® )08.00.72
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07.00.21jAllergyImmunotherapy07.00.21jMedicine (07)Allergy Immunotherapyaa555f38-c3ef-429e-990c-f633f79e8ada4754Allergy Immunotherapy07.00.21
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08.01.88AllogeneicProcessedThymusTissue-agdc(Rethymic®)08.01.88Pharmacy (08)Allogeneic Processed Thymus Tissue-agdc (Rethymic®)cd295dbf-3ea0-44ef-93bf-207a1a2b64e85103Allogeneic Processed Thymus Tissue-agdc (Rethymic®)08.01.88
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08.00.91eAlpha1-AntitrypsinTherapy(e.g.,Prolastin-C®,AralastNP®,Glassia®,Zemaira®)08.00.91ePharmacy (08)Alpha 1-Antitrypsin Therapy (e.g., Prolastin-C®, Aralast NP®, Glassia®, Zemaira®)1b5f038c-0f20-4a75-98b9-9166968f50865154Alpha 1-Antitrypsin Therapy (e.g., Prolastin-C®, Aralast NP®, Glassia®, Zemaira®)08.00.91
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00.01.52rAlwaysBundledProcedureCodes00.01.52rAdministrative (00)Always Bundled Procedure Codesedc1e758-8fc8-48ff-a282-ffeae40028ee4977Always Bundled Procedure Codes00.01.52
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07.02.09hAmbulatoryBloodPressureMonitoring(ABPM)andHomeBloodPressureMonitoring(HBPM)Devices07.02.09hMedicine (07)Ambulatory Blood Pressure Monitoring (ABPM) and Home Blood Pressure Monitoring (HBPM) Devices4a322af8-4167-4e02-afbd-8599b16568954807Ambulatory Blood Pressure Monitoring (ABPM) and Home Blood Pressure Monitoring (HBPM) Devices07.02.09
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07.02.21kAmbulatoryElectrocardiography(AECG)MonitoringandMobileCardiacOutpatientTelemetry(MCOT)Monitoring07.02.21kMedicine (07)Ambulatory Electrocardiography (AECG) Monitoring and Mobile Cardiac Outpatient Telemetry (MCOT) Monitoring05e1f864-5736-4586-addf-3987bbec25fc4910Ambulatory Electrocardiography (AECG) Monitoring and Mobile Cardiac Outpatient Telemetry (MCOT) Monitoring07.02.21
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01.00.12aAnesthesiaServicesforEpidural,ParavertebralFacetandSacroiliacJointInjectionsforSpinalJointManagement01.00.12aAnesthesia (01)Anesthesia Services for Epidural, Paravertebral Facet and Sacroiliac Joint Injections for Spinal Joint Managementead4c7e8-3eb9-4efb-9c14-02e79aa4b05d5304Anesthesia Services for Epidural, Paravertebral Facet and Sacroiliac Joint Injections for Spinal Joint Management01.00.12
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08.01.82bAnifrolumab-fnia(Saphnelo™)08.01.82bPharmacy (08)Anifrolumab-fnia (Saphnelo™)2fdd9022-2641-49f8-ae4f-b09593402c694246Anifrolumab-fnia (Saphnelo™)08.01.82
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05.00.39sAnkle-Foot/Knee-Ankle-FootOrthoses05.00.39sDME (05)Ankle-Foot/Knee-Ankle-Foot Orthoses35274498-d997-4f99-94a3-0d42f685e2be5084Ankle-Foot/Knee-Ankle-Foot Orthoses05.00.39
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06.03.04nApheresisTherapy06.03.04nPathology and Laboratory (06)Apheresis Therapy36aee0bb-d271-4e94-8256-eafdfce453972774Apheresis Therapy06.03.04
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11.08.05gApplicationandRemovalofTattoos11.08.05gSurgery (11)Application and Removal of Tattoos76f815fa-14c4-4531-8c3f-bc8fe0de4f6f5032Application and Removal of Tattoos11.08.05
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14.00.03AppliedBehaviorAnalysis(ABA)fortheTreatmentofAutismSpectrumDisorders(ASD)14.00.03Behavioral Health (14)Applied Behavior Analysis (ABA) for the Treatment of Autism Spectrum Disorders (ASD)8e21f681-8261-4b8d-924b-59e9f4a8b4494967Applied Behavior Analysis (ABA) for the Treatment of Autism Spectrum Disorders (ASD)14.00.03
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08.01.41eAprepitant(Cinvanti™),FosaprepitantDimeglumine(Emend®),Granisetron(Sustol®),andRolapitant(Varubi®)08.01.41ePharmacy (08)Aprepitant (Cinvanti™), Fosaprepitant Dimeglumine (Emend®), Granisetron (Sustol®), and Rolapitant (Varubi®)68b0db08-bc36-4791-bc21-24234f4c10974923Aprepitant (Cinvanti™), Fosaprepitant Dimeglumine (Emend®), Granisetron (Sustol®), and Rolapitant (Varubi®)08.01.41
{"4924": {"Id":4924,"MPAttachmentLetter":"A","Title":"Risk of Emesis Without Prophylaxis: Intravenous and Oral Antineoplastic Agents","MPPolicyAttachmentInternalSourceId":7122,"PolicyAttachmentPageName":"fe7db1ca-7fea-41ca-8b4d-26bae30635bf"},}
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11.05.16lAqueousShunts,Microstents,Viscocanalostomy,andCanaloplastyfortheTreatmentofGlaucoma11.05.16lSurgery (11)Aqueous Shunts, Microstents, Viscocanalostomy, and Canaloplasty for the Treatment of Glaucoma247cb6c3-4717-4406-9763-45a7e18e97434928Aqueous Shunts, Microstents, Viscocanalostomy, and Canaloplasty for the Treatment of Glaucoma11.05.16
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11.14.19pArtificialIntervertebralCervicalDiscInsertion(IndependenceAdministrators)11.14.19pSurgery (11)Artificial Intervertebral Cervical Disc Insertion (Independence Administrators)ec54656d-1d31-41b0-b458-e1a4358b0ed75233Artificial Intervertebral Cervical Disc Insertion (Independence Administrators)11.14.19
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11.15.31bArtificialIntervertebralLumbarDiscInsertion11.15.31bSurgery (11)Artificial Intervertebral Lumbar Disc Insertion1a1546d8-2f70-47e9-80e8-be03e5acd4874919Artificial Intervertebral Lumbar Disc Insertion11.15.31
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08.01.35fAsparaginaseErwiniaChrysanthemi(Erwinaze®),asparaginaseerwiniachrysanthemi(recombinant)-rywn(Rylaze™)08.01.35fPharmacy (08)Asparaginase Erwinia Chrysanthemi (Erwinaze®), asparaginase erwinia chrysanthemi (recombinant)-rywn (Rylaze™)6160580f-3e49-4886-a470-2c0b3f1203a04488Asparaginase Erwinia Chrysanthemi (Erwinaze®), asparaginase erwinia chrysanthemi (recombinant)-rywn (Rylaze™)08.01.35
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06.02.27nAssaysofGeneticExpressioninTumorTissueforBreastCancerPrognosis(IndependenceAdministrators)06.02.27nPathology and Laboratory (06)Assays of Genetic Expression in Tumor Tissue for Breast Cancer Prognosis (Independence Administrators)faea9ca0-5aaf-4df6-b345-ecb509a725f64445Assays of Genetic Expression in Tumor Tissue for Breast Cancer Prognosis (Independence Administrators)06.02.27
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07.10.06iAssistedReproductiveTechnologyforInfertilityandOocyteCryopreservation07.10.06iMedicine (07)Assisted Reproductive Technology for Infertility and Oocyte Cryopreservation76727854-57be-4f5a-a359-c836ddd2fe124795Assisted Reproductive Technology for Infertility and Oocyte Cryopreservation07.10.06
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08.01.69cAtezolizumab(Tecentriq®)08.01.69cPharmacy (08)Atezolizumab (Tecentriq®)ab4a9746-3c0a-4512-bd38-0b178d74977d5045Atezolizumab (Tecentriq®)08.01.69
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05.00.29nAutomaticExternalCardioverterDefibrillators(WearableandNonwearable)05.00.29nDME (05)Automatic External Cardioverter Defibrillators (Wearable and Nonwearable)148bea2e-d96c-412f-a00c-62599efec1ea4804Automatic External Cardioverter Defibrillators (Wearable and Nonwearable)05.00.29
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08.01.64bAvelumab(Bavencio®)08.01.64bPharmacy (08)Avelumab (Bavencio®)89f5a884-1725-46ed-91bb-b7944b71287c4888Avelumab (Bavencio®)08.01.64
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11.03.02tBariatricSurgery11.03.02tSurgery (11)Bariatric Surgerye2e22104-ada2-4d84-9c71-c600f1ea170e2791Bariatric Surgery11.03.02
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08.01.70bBelantamabmafodotin-blmf(Blenrep)08.01.70bPharmacy (08)Belantamab mafodotin-blmf (Blenrep)2a68daca-621e-4826-8bcf-e5212ad5e2c14215Belantamab mafodotin-blmf (Blenrep)08.01.70
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08.00.99eBelimumab(Benlysta®)forIntravenousUse08.00.99ePharmacy (08)Belimumab (Benlysta®) for Intravenous Useb9da618c-f1df-4a91-bdec-7d467008d14f5225Belimumab (Benlysta®) for Intravenous Use08.00.99
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08.01.89BetibeglogeneAutotemcel[Beti-Cel(ZYNTEGLO®)]08.01.89Pharmacy (08)Betibeglogene Autotemcel [Beti-Cel (ZYNTEGLO®)]a621d3f8-8991-44aa-9f0c-83bd74ddb3aa4900Betibeglogene Autotemcel [Beti-Cel (ZYNTEGLO®)]08.01.89
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08.00.66uBevacizumab(Avastin®)andRelatedBiosimilarsForOncologicUse08.00.66uPharmacy (08)Bevacizumab (Avastin®) and Related Biosimilars For Oncologic Use4f5fba6f-e0af-4ca7-ae67-ee9a82fff8e65313Bevacizumab (Avastin®) and Related Biosimilars For Oncologic Use08.00.66
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00.10.39pBillingforProfessionalOffice-BasedServicesPerformedinanOutpatientOffice-BasedSettingLocatedwithinaFacilityoronaFacilityCampus00.10.39pAdministrative (00)Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus947f2068-3357-4b3b-a661-61dc273ccbf75006Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus00.10.39
{"5007": {"Id":5007,"MPAttachmentLetter":"A","Title":"Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus","MPPolicyAttachmentInternalSourceId":7191,"PolicyAttachmentPageName":"7fa7063b-493d-48fa-8a2b-dca1075b3ba1"},}
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00.10.38aBillingRequirementsforMultipleBirthsforProfessionalProviders00.10.38aAdministrative (00)Billing Requirements for Multiple Births for Professional Providers7467b7be-328a-4664-89ab-13b4c08598393051Billing Requirements for Multiple Births for Professional Providers00.10.38
{"3052": {"Id":3052,"MPAttachmentLetter":"A","Title":"MULTIPLE BIRTH CODING SCENARIOS FOR DELIVERY OF TWINS WHEN ROUTINE OBSTETRIC (GLOBALE MATERNITY/OBSTETRIC [OB]) CARE WAS PROVIDED","MPPolicyAttachmentInternalSourceId":5340,"PolicyAttachmentPageName":"d157b661-7eea-46ea-ab0f-b6ec2bd15a87"},"3053": {"Id":3053,"MPAttachmentLetter":"B","Title":"MULTIPLE BIRTH CODING SCENARIOS FOR DELIVERY OF TWINS WHEN ANETEPARTUM CARE IS NOT PROVIDED","MPPolicyAttachmentInternalSourceId":5341,"PolicyAttachmentPageName":"5d22c25e-12c7-42e4-a127-e50b59895309"},"3054": {"Id":3054,"MPAttachmentLetter":"C","Title":"CODING SCENARIOS FOR REPORTING HIGH-ORDER MULTIPLE (TRIPLETS, QUADRUPLETS, ETC) BIRTHS WHEN ROUTINE OBSTETRIC (GLOBAL MATERNITY/OBSTETRIC [OB]) CARE WAS PROVIDED","MPPolicyAttachmentInternalSourceId":5342,"PolicyAttachmentPageName":"d0a0d176-67d6-4d41-9e52-2cbec1ebff3d"},"3055": {"Id":3055,"MPAttachmentLetter":"D","Title":"MULTIPLE BIRTH CODING SCENARIOS FOR DELIVERY OF HIGH-ORDER MULTIPLES WHEN ANTEPARTUM CARE IS NOT PROVIDED","MPPolicyAttachmentInternalSourceId":5343,"PolicyAttachmentPageName":"74d58125-3d75-4d7b-8d89-cbaebd03cc03"},}
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07.06.03bBioimpedencefortheDetectionofLymphedema07.06.03bMedicine (07)Bioimpedence for the Detection of Lymphedema003a2876-c32d-49ee-acdf-0694a0faee574307Bioimpedence for the Detection of Lymphedema07.06.03
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11.05.02jBlepharoplasty,RepairofBlepharoptosis,RepairofBrowPtosis,andCanthoplasty/Canthopexy11.05.02jSurgery (11)Blepharoplasty, Repair of Blepharoptosis, Repair of Brow Ptosis, and Canthoplasty/Canthopexy0004caa3-4725-461b-a8f6-5dc4564e1a274779Blepharoplasty, Repair of Blepharoptosis, Repair of Brow Ptosis, and Canthoplasty/Canthopexy11.05.02
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08.01.21fBlinatumomab(Blincyto®)08.01.21fPharmacy (08)Blinatumomab (Blincyto®)210e5872-ee1f-4197-bbec-c07c8d759d255039Blinatumomab (Blincyto®)08.01.21
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09.00.04mBoneMineralDensity(BMD)Testing09.00.04mRadiology (09)Bone Mineral Density (BMD) Testingf2fb6729-651e-443f-91c7-d930178ab96b4911Bone Mineral Density (BMD) Testing09.00.04
ecbaf100-2489-4636-8a27-4f9678265689.aspx
  
08.00.73oBortezomib(BortezomibforInjection,Velcade®)08.00.73oPharmacy (08)Bortezomib (Bortezomib for Injection, Velcade®)ecbaf100-2489-4636-8a27-4f96782656894948Bortezomib (Bortezomib for Injection, Velcade®)08.00.73
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05.00.76gBreastPumps05.00.76gDME (05)Breast Pumps2c66e6e3-355b-468f-8023-0018ae375f9b4961Breast Pumps05.00.76
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08.01.49bBurosumab-twza(Crysvita®)08.01.49bPharmacy (08)Burosumab-twza (Crysvita®)25d7087c-ccb2-4eb7-8a83-dae2287e4fa35282Burosumab-twza (Crysvita®)08.01.49
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10.01.01oCardiacRehabilitation(CR)andIntensiveCardiacRehabilitation(ICR)Programs10.01.01oRehabilitation Services (10)Cardiac Rehabilitation (CR) and Intensive Cardiac Rehabilitation (ICR) Programs2adc54e6-00ed-4918-b193-578a35f6faef4554Cardiac Rehabilitation (CR) and Intensive Cardiac Rehabilitation (ICR) Programs10.01.01
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00.01.59mCareManagementandCarePlanningServices00.01.59mAdministrative (00)Care Management and Care Planning Services142a9bb0-7fee-4470-89dd-7f8c7299962c5008Care Management and Care Planning Services00.01.59
ea938bae-5423-4dc6-be25-b35f3444277f.aspx
  
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00.10.15dCastandSplintApplicationsandAssociatedSupplies00.10.15dAdministrative (00)Cast and Splint Applications and Associated Supplies76b13cf3-92b8-4525-b937-0628909624864299Cast and Splint Applications and Associated Supplies00.10.15
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a8bbd22a-8279-42e6-bce7-e23c36601e5f.aspx
  
08.01.39cCerliponasealfa(Brineura®)08.01.39cPharmacy (08)Cerliponase alfa (Brineura®)a8bbd22a-8279-42e6-bce7-e23c36601e5f5266Cerliponase alfa (Brineura®)08.01.39
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1d2fc37e-88d7-431a-9aca-e9f20e57b894.aspx
  
08.00.67nCetuximab(Erbitux®)08.00.67nPharmacy (08)Cetuximab (Erbitux®)1d2fc37e-88d7-431a-9aca-e9f20e57b8944944Cetuximab (Erbitux®)08.00.67
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11.08.08hChemicalPeels11.08.08hSurgery (11)Chemical Peels7d28d8ee-4fcf-48ac-aaee-cfd8b31c3bfb4537Chemical Peels11.08.08
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08.01.43kChimericAntigenReceptor(CAR)Therapy08.01.43kPharmacy (08)Chimeric Antigen Receptor (CAR) Therapy74afbcd9-65f3-4d96-bd95-8995043065c04540Chimeric Antigen Receptor (CAR) Therapy08.01.43
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10.02.02jChiropracticSpinalandExtraspinalManipulationTherapy10.02.02jRehabilitation Services (10)Chiropractic Spinal and Extraspinal Manipulation Therapyf970c42c-dd59-466f-8b6a-9f941ed5693c4753Chiropractic Spinal and Extraspinal Manipulation Therapy10.02.02
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08.00.92aeCoagulationFactors08.00.92aePharmacy (08)Coagulation Factors22bc84c7-5553-4fa7-b5d3-be57e0cc24a34737Coagulation Factors08.00.92
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11.01.02qCochlearImplantation11.01.02qSurgery (11)Cochlear Implantation92165f01-4385-42eb-a620-83ba4e4b607e4741Cochlear Implantation11.01.02
0371d979-7a62-4d2e-89a7-3202eff71aa6.aspx
  
08.01.71Collagenaseclostridiumhistolyticum(Xiaflex®),collagenaseclostridiumhistolyticum-aaes(Qwo™)08.01.71Pharmacy (08)Collagenase clostridium histolyticum ( Xiaflex ®), collagenase clostridium histolyticum-aaes (Qwo™)0371d979-7a62-4d2e-89a7-3202eff71aa65069Collagenase clostridium histolyticum ( Xiaflex ®), collagenase clostridium histolyticum-aaes (Qwo™)08.01.71
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11.03.12tColorectalCancerScreening11.03.12tSurgery (11)Colorectal Cancer Screeningd791112d-6c87-4bc2-8a82-f564801d72374813Colorectal Cancer Screening11.03.12
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12.00.03gComplementaryandIntegrativeHealthServices12.00.03gMiscellaneous (12)Complementary and Integrative Health Services979c27fb-de3f-4cf5-82ba-0053b59f78b84301Complementary and Integrative Health Services12.00.03
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05.00.37gCompressionGarments05.00.37gDME (05)Compression Garments0614114f-9368-4ca8-bdcf-164d35718d225172Compression Garments05.00.37
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09.00.42cComputer-AidedDetection(CAD)SystemforUsewithChestRadiographs09.00.42cRadiology (09)Computer-Aided Detection (CAD) System for Use with Chest Radiographsddf4156a-01e2-4e9f-82fc-68aab25f027b5031Computer-Aided Detection (CAD) System for Use with Chest Radiographs09.00.42
92e3212a-d739-4d86-a4ac-39c40334f32d.aspx
  
11.14.17eComputer-assistedMusculoskeletalSurgicalNavigationalOrthopedicProcedure11.14.17eSurgery (11)Computer-assisted Musculoskeletal Surgical Navigational Orthopedic Procedure92e3212a-d739-4d86-a4ac-39c40334f32d5002Computer-assisted Musculoskeletal Surgical Navigational Orthopedic Procedure11.14.17
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00.01.69bConsultationServices00.01.69bAdministrative (00)Consultation Serviceseb4b646a-6ce3-45f1-9096-23e49da996df5009Consultation Services00.01.69
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07.13.11kContactLensesfortheTreatmentofPersistent(Corneal)EpithelialDefects07.13.11kMedicine (07)Contact Lenses for the Treatment of Persistent (Corneal) Epithelial Defects96eca6bb-e268-40fb-89b6-dfeea7bb5fcc5065Contact Lenses for the Treatment of Persistent (Corneal) Epithelial Defects07.13.11
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09.00.11eContrastAgentsUsedinConjunctionwithEchocardiography09.00.11eRadiology (09)Contrast Agents Used in Conjunction with Echocardiography7c8e4bb0-6f66-4f72-84b4-1014281324975063Contrast Agents Used in Conjunction with Echocardiography09.00.11
c53caf21-625e-421f-bca8-41cf258425ee.aspx
  
07.13.07lCornealPachymetryUsingUltrasound07.13.07lMedicine (07)Corneal Pachymetry Using Ultrasoundc53caf21-625e-421f-bca8-41cf258425ee4321Corneal Pachymetry Using Ultrasound07.13.07
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12.01.03aCosmeticProcedures12.01.03aMiscellaneous (12)Cosmetic Procedures5196725f-47be-4c15-b422-5e38270922a74792Cosmetic Procedures12.01.03
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08.01.08lCoverageofAnticancerPrescriptionOralandInjectableDrugsandBiologicsandSupportiveAgents08.01.08lPharmacy (08)Coverage of Anticancer Prescription Oral and Injectable Drugs and Biologics and Supportive Agents6774b7e5-3dd0-409c-ae5e-a309a8744be85179Coverage of Anticancer Prescription Oral and Injectable Drugs and Biologics and Supportive Agents08.01.08
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05.00.04eCoverageofMedicalDevices05.00.04eDME (05)Coverage of Medical Devices0e5a3246-799b-4df3-bc4a-9a5c0ec821663665Coverage of Medical Devices05.00.04
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05.00.80cCranialElectrotherapyStimulation05.00.80cDME (05)Cranial Electrotherapy Stimulationab9638f7-dc59-4586-94c8-f2938d0b935e4698Cranial Electrotherapy Stimulation05.00.80
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05.00.25iCranialRemoldingOrthoses(Helmets)05.00.25iDME (05)Cranial Remolding Orthoses (Helmets)44ec7026-b615-4208-b5f9-d8d4a51c949e5097Cranial Remolding Orthoses (Helmets)05.00.25
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00.10.03kCriteriaforReimbursementofEmergencyRoomServices00.10.03kAdministrative (00)Criteria for Reimbursement of Emergency Room Services1adfb9b5-6ec1-41a1-ab70-0ec7069d62d94962Criteria for Reimbursement of Emergency Room Services00.10.03
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08.00.04crizanlizumab-tmca(Adakveo®)08.00.04Pharmacy (08)crizanlizumab-tmca (Adakveo®)ead778d7-52e0-40ac-b20d-80866708fda45005crizanlizumab-tmca (Adakveo®)08.00.04
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11.11.03dCryosurgicalAblationoftheProstateGland11.11.03dSurgery (11)Cryosurgical Ablation of the Prostate Gland5c410158-5c9f-4ee9-84e2-7e74e23e7cb14309Cryosurgical Ablation of the Prostate Gland11.11.03
d5ec64eb-6e3a-4e18-ae7a-2e1f3d824f86.aspx
  
08.01.29jDaratumumab(Darzalex®),Daratumumab,andHyaluronidase-fihj(DarzalexFaspro®)08.01.29jPharmacy (08)Daratumumab (Darzalex®), Daratumumab, and Hyaluronidase-fihj (Darzalex Faspro®)d5ec64eb-6e3a-4e18-ae7a-2e1f3d824f864494Daratumumab (Darzalex®), Daratumumab, and Hyaluronidase-fihj (Darzalex Faspro®)08.01.29
1381b984-d385-4d3d-91a9-8daa23bf024f.aspx
  
10.00.02cDayRehabilitation10.00.02cRehabilitation Services (10)Day Rehabilitation1381b984-d385-4d3d-91a9-8daa23bf024f5297Day Rehabilitation10.00.02
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11.08.17kDebridementofMycoticandSymptomaticNon-MycoticHypertrophicToeNails11.08.17kSurgery (11)Debridement of Mycotic and Symptomatic Non-Mycotic Hypertrophic Toe Nails9aaa0244-d519-4cc2-b31f-9604c858383c5050Debridement of Mycotic and Symptomatic Non-Mycotic Hypertrophic Toe Nails11.08.17
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11.15.20rDeepBrainStimulation(DBS)11.15.20rSurgery (11)Deep Brain Stimulation (DBS)e447a55a-6fa7-4a92-b4fe-ddc2d83e8dd85125Deep Brain Stimulation (DBS)11.15.20
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11.15.09pDenervationoftheSpinalNervesforChronicPain(IndependenceAdministrators)11.15.09pSurgery (11)Denervation of the Spinal Nerves for Chronic Pain (Independence Administrators)a62acc79-9c13-49a6-a11c-c6ff9a9402195163Denervation of the Spinal  Nerves for Chronic Pain (Independence Administrators)11.15.09
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08.00.94pDenosumab(Prolia®,Xgeva®),Romosozumab-aqqg(Evenity®)08.00.94pPharmacy (08)Denosumab (Prolia®, Xgeva®), Romosozumab-aqqg (Evenity®)798cca7f-66bc-4a18-89fe-800f61ffd3214201Denosumab (Prolia®, Xgeva®), Romosozumab-aqqg (Evenity®)08.00.94
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11.16.01jDermabrasionforRhinophyma,Septoplasty,Rhinoplasty,andSeptorhinoplasty11.16.01jSurgery (11)Dermabrasion for Rhinophyma, Septoplasty, Rhinoplasty, and Septorhinoplastya67fb1d0-89a2-439a-919a-39d46565e6a94930Dermabrasion for Rhinophyma, Septoplasty, Rhinoplasty, and Septorhinoplasty11.16.01
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00.03.02adDiagnosticRadiologyServicesIncludedinCapitation00.03.02adAdministrative (00)Diagnostic Radiology Services Included in Capitatione3772d4e-89a5-4eaf-b900-f06b47d8f3724935Diagnostic Radiology Services Included in Capitation00.03.02
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