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ACG
​
h.o.l.M.E.S.

Automated Clinical Guidelines

Continuous Glucose Monitoring Systems
Aetna
Anthem
ExcelsiorBlue
Cigna
FlorideBlue
Humana
HighmarkBlue
HealthNet
UHC

DME-Devices

Air Conduction Hearing Aids
Humana
Airway Clearance Devices
Artificial Pancreas Device System
Automated Insulin Delivery Devices
Automatic External Defibrillators
Blood Glucose Monitors & Supplies
Bowel Management Devices
Aetna
Cervical Traction Devices
Aetna
Medicare
Electric Breast Pumps
Electrical Nerve Stimulation, Transcutaneous, Percutaneous
Anthem
Cigna
Electrical Stimulation for Pain
Aetna
Electro-stimulation and Electromagnetic Therapy for Treating Wounds
FlorideBlue
Neuromuscular Electrical Stimulation (NMES)
FlorideBlue
Percutaneous Electrical Nerve Stimulation (PENS)
FlorideBlue
External Continuous Insulin Infusion Pumps
External Infusion Pumps  (non-insulin)
FlorideBlue
High Frequency Chest Wall Oscillation Devices
FlorideBlue
Implantable Bone Conduction and Bone-Anchored Hearing Aids
Implantable Continuous Glucose Monitors (I-CGM)
Medicare
Infant Home Apnea Monitors
Infant Home Cardiorespiratory Monitoring
FlorideBlue
Mechanical In-exsufflation Devices
Nebulizers
Negative Pressure Wound Therapy (NPWT) Pumps Inpatient-OutPatient
Medicare
Negative Pressure Wound Therapy (NPWT)
Aetna
FloridaBlue
Humana
Vacuum Assisted Wound Therapy in the Outpatient Setting
commercial
Neuromuscular Stimulation in the Treatment of Muscle Atrophy
Oral appliances for obstructive sleep apnea
NonInvasive Ultrasound Osteogenesis Stimulators
FlorideBlue
Medicare
Positive Pressure Ventilation
FlorideBlue
Respiratory Assist Devices
Speech Generating Devices
FlorideBlue
Suction Pump
Prothrombin Time Self-Monitoring Devices
Anthem
Transtympanic Micropressure Applications as a Treatment of Meniere's Disease
Electrical and Ultrasound Bone Growth Stimulators
UHC

Indicates Non-covered Service

FloridaBlue
Transtympanic Micropressure Applications as a Treatment of Meniere's Disease
Apnea Monitors for Infants
Aetna
Autotransfusers
Aetna
FlorideBlue
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