IntPainManage

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Interventional Pain Management

Indicates Non-Covered Service

Acupuncture

-Aetna-

-Humana-

Acupuncture for Chronic Lower Back Pain (cLBP)

-Medicare-

Back Pain - Invasive Procedures

-Aetna-

Botulinum Toxins

Continuous Peripheral Nerve Blocks

(CPNB)

Dorsal Column Stimulation

-Commercial-

Transforaminal Epidural Injections

-Aetna-

Selective Nerve Root Blocks & Transforaminal Epidural Steroid Injections

-Centene-

Epidural Injections -

Florida Blue

Epidural & Selective Nerve Root Block (SNRB)

-Medicare-

Epidural Steroid Injections for Spinal Pain -

UHC

Epidural Patching

-Aetna-

Extended release opioids

Opioid Days' Supply Limitation

-Humana-

Radiofrequency Joint Ablation/Denervation -

Cigna

Facet Joint Interventions

-Centene-

Facet Joint Interventions for Pain Management --Medicare-

Facet Joint Injections

-FloridaBlue-

Facet Joint Injections/Medial Branch Blocks -

Cigna

Facet Joint Injections for Spinal Pain -

UHC

Injection of Morton's neuroma

Injections for Chronic Pain Conditions

-Humana-

Nerve Blockade for Treatment of Chronic Pain & Neuropathy

Nerve Block Injections

-Aetna-

-FloridaBlue-

Ablative Treatment for Spinal Pain-

UHC

MONITORED ANESTHESIA CARE (MAC) for Interventional Pain Management Procedures in an Adult

MODERATE SEDATION for Interventional Pain Management Procedures in an Adult

Neuroablative Techniques for Chronic Pain-

Humana

-FloridaBlue-

Percutaneous Electrical Nerve Stimulation (PENS)

-Florida Blue-

Post-Herpetic Neuralgia

Treatment

-Aetna-

Sacroiliac Joint Injection

-Centene-

-Cigna-

Spasticity Management

-Aetna-

-Cigna-

-FloridaBlue-

Spinal Cord Stimulation-Aetna-

-Humana-

Spinal Cord Stimulation (Dorsal Column Stimulation)

-Medicare-

Spinal Cord & Dorsal Root Ganglion Stimulation

-Cigna-

Tendon Sheath and Ligament Injections -

Florida Blue

Transcutaneous Electric Nerve Stimulation (TENS)

-Florida Blue-

Trigger Point

Injections

-Centene-

-FloridaBlue-

Minimally Invasive Spine Surgery Procedures & Trigger Point Injections

-FloridaBlue-

-UHC-

Visco-supplemen-tation

-Aetna-

-Humana-

Visco-supplemen-for Osteoarth-ritis

-Cigna-

Indicates Non-Covered Service

Anesthetic & Antiemetic Infusion Pumps

-Aetna-

Discogenic

Pain

Treatment

-UHC-

Epidural Adhesiolysis

-Cigna-

-FloridaBlue-

Headache & Occipital Neuralgia Treatment

-Cigna-

Headaches: Invasive Procedures

-Aetna-

Intra-oral Appliances for Headaches & Trigeminal Neuralgia

Orthopedic Applications of Stem-Cell Therapy

Cigna-

-FloridaBlue-

-Aetna-

-FloridaBlue-

Intravenous Lidocaine for the Management of Chronic Pain

Peripheral Nerve Stimulation and Peripheral Nerve Field Stimulation

Surface Scanning & Macro Electromy-ography

Visco-

supplements --FloridaBlue-

-FloridaBlue-

Cigna-

-Aetna-

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