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Imaging

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Indicates Non-Covered Service

-Humana-

-Humana-

-FloridaBlue-

-FloridaBlue-

-FloridaBlue-

-FloridaBlue-

Whole Body Computed Tomography Scan as a Screening Test

-FloridaBlue-

MRI Angiography (MRA) of the Pelvis

-Medicare-

-Aetna

-FloridaBlue-

-Aetna

-FloridaBlue-

Magnetic Resonance Spectroscopy

MRI Low Field

Positional

 MRI

Videofluoros-copy, Dynamic MRI for Musculoskel-etal Indications

-Humana-

Not-covered

-FloridaBlue-

Myocardial Sympathetic Innervation Imaging in Patients with Heart Failure

Radioimmuno-scintigraphy Imaging (Monoclonal Antibody Imaging) Using Technetium-99m Nofetumomab Merpentan (Verluma)

Radioimmuno-scintigraphy (Monoclonal Antibody Imaging) With Indium 111 Capromab Pendetide for Prostate Cancer

AcuTect Scintigraphic Imaging for Detection of Lower Limb Deep Vein Thrombosis

-Aetna-

-FloridaBlue

-Aetna-

Beta Amyloid Imaging with Positron Emission Tomography (PET) for Alzheimer's Disease

Positron Emission Mammography (PEM)

Quantitative Ultrasound for Tissue Characterization

-FloridaBlue

Ultrasound for the Evaluation of Paranasal Sinuses

Ultrasono-graphic Evaluation of Skin Lesions

Ultrasonographic Measurement of Carotid Intimal-Medial Thickness as an Assessment of Subclinical Atherosclerosis

-Anthem-

Computerized Motion Diagnostic Imaging

Aetna

Thermography

-Aetna-

-UHC-

Videofluoro-scopic Evaluation of Velopharyngeal Dysfunction

Whole Body Dual X-ray Absorptiometry (DEXA) to Determine Body Composition

Cigna-

-FloridaBlue-

91110, 91111, 0355T, 70450, 70460, 70470, 70480, 70481, 70482, 70486, 70487, 70488, 70490, 70491, 70492,70496, 70498, 71250, 71260,71270, 71275, 72125, 72126,72127, 72128, 72129, 72130,72131, 72132, 72133, 72191, 72192, 72193, 72194, 73200,73201, 73202, 73206, 73700,73701, 73702, 73706, 74150,74160, 74170, 74174, 74175,74176, 74177, 74178, 74261,74262, 75572, 75573, 75574,75635, 76380, 70544, 70545, 70546, 70547, 70548, 70549, 71555, 72159, 72198, 73225, 73725, 74185, C8900, C8901, C8902, C8909, C8910, C8911, C8912, C8913, C8914, C8918, C8919, C8920, C8931, C8932, C8933, C8934, C8935, C8936, 70336, 70540, 70542, 70543, 70551, 70552, 70553, 70554, 70555, 71550, 71551, 71552, 72141, 72142, 72146, 72147, 72148, 72149, 72156, 72157, 72158, 72195, 72196, 72197, 73218, 73219, 73220, 73221, 73222, 73223, 73718, 73719, 73720, 73721, 73722, 73723, 74181, 74182, 74183, 74712, 75557, 75559, 75561, 75563, 77046, 77047, 77048, 77049, 77084, C8903, C8905, C8906,C8908, C9762, C9763, S8037, S8042, 78451, 78452, 78453, 78454, 78466, 78468, 78469, 78472, 78473, 78481, 78483, 93350, 93351, C8928, C8930, 93303, 93304, 93306, 93307, 93308, C8921, C8922, C8923, C8924, C8929, 36245, 36246, 36247, 78429, 78430, 78431, 78432, 78433, 78459, 78491, 78492, 78608, 78609, 78811, 78812, 78813, 78814, 78815, 78816, G0219, G0235, G0252, 78494, 93312, 93313, 93314, 93315, 93316, 93317, 93318, 93355, C8925, C8926, C8927,

 

 

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