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ACG
​
h.o.l.M.E.S.

Automated Clinical Guidelines

Oncology

Oncology Combined Algorithms
Cancer Therapy Pathways Program
Cancer Treatment Pathways
Oncology Formulary
Oncology Pathways
Oncology Imaging
Antineoplastics

Harvard Pilgrim Commercial
Tufts Commercial
Tuft Health Direct
 Oncology Agents
UHC
Anthem
MA
MA
MA
Injectable, Infused, or Implanted Drugs 
Pharmacogenomics Testing for FDA Known Gene-Drug Interactions
Oncologic Genetic Testing
Comprehensive Genetic Testing
Neutron Beam & Proton Beam Radiation Therapy
Anthem
MA
MA
MA
MA
External Beam Teletherapy, Brachytherapy, IMRT, SBRT SRS, IORT, and IGRT
MA
Oncology Pharmaceuticals
Oncology Pharmaceuticals
Radiation Therapy
Brachytherapy-Oncologic Applications
Brachytherapy
Chemotherapy Observation or Inpatient Hospitalization
Disease Based Radiation Oncology
FloridaBlue
Humana
UHC
Aetna
Cigna
FloridaBlue
Fractionation, Image-Guidance, & Special Services
Hyperthermia Treatment for Cancer (Local, Regional & Whole Body)
FloridaBlue
Aetna
Hyperthermic Intraperitoneal Chemotherapy (HIPEC)
Image Guided Radiation Therapy
Implantable Beta-Emitting Microspheres for Treatment of Malignant Tumors
Inpatient Admission for Radiation Therapy
Inpatient Admission for Radiation Therapy for Cervical or Thyroid Cancer
Intensity Modulated Radiation Therapy (IMRT)
Cigna
FloridaBlue
FloridaBlue
UHC
Cigna
Anthem
FloridaBlue
Oncologic Applications of Photodynamic Therapy
Aetna
Proton Beam Therapy
Proton & Neutron Beam Radiation Therapy
Radiofrequency Tumor Ablation
FloridaBlue
Point32
Anthem
Aetna
Cigna
Humana
UHC
Selective Internal Radiation Therapy (SIRT) for Primary & Secondary Hepatic Malignancy
Stereotactic Radiosurgery (SRS) & Stereotactic Body Radiation Therapy (SBRT)
Stereotactic Radiosurgery (Intracranial)
Tumor Treatment Fields (TTF) Therapy for Glioblastoma
FloridaBlue
FloridaBlue
FloridaBlue
FloridaBlue
UHC
Radiation Oncology
Cigna
Humana
Humana
Tumor Markers
Aetna
FloridaBlue
UHC
Medicare
Radiation Therpy
MA
Humana
Aetna
Anthem
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Locoregional Techniques for Treating Primary & Metastatic Liver Malignancies
Anthem
OncDrugs.jpg
Therapeutic Radiopharmaceuticals 
Anthem

Indicates Non-covered Service

Indicates Non-covered Service

OncDrugs.jpg
Cancer Vaccines
Aetna
electumor.jpg
Amplitude-Modulated Radiofrequency Electromagnetic Fields Therapy 
Cigna
drugs.png
Florida AHCA Drug Criteria:
Oral Oncology
OncPaths.jpg
Biomarkers for Oncology
Medicare
FEP
FEP
Intensity-Modulated Radiotherapy of the Breast & Lung
FEP
Intensity-Modulated Radiotherapy: Cancer of the Head and Neck or Thyroid
FEP
Radioembolization for Primary & Metastatic Tumors of the Liver
FEP
Charged-Particle (Proton or Helium Ion) Radiotherapy for Neoplastic Conditions
FEP
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