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ACG
​
h.o.l.M.E.S.

Automated Clinical Guidelines

Oncology

Oncology Formulary
Oncology Pathways
Oncology Imaging
Disease Based Radiation Oncology
Cigna
Brachytherapy-Oncologic Applications
Brachytherapy
Charged-Particle (Proton or Helium Ion) Radiotherapy for Neoplastic Conditions
Chemotherapy Observation or Inpatient Hospitalization
Cranial
Stereotactic Radiosurgery (SRS)
& 
Cranial
Stereotactic Radiotherapy (SRT)
Accelerated Breast Irradiation & Brachytherapy Boost After Breast-Conserving Surgery for Early-Stage Breast Cancer
FloridaBlue
Humana
UHC
Hyperthermia Treatment for Cancer (Local, Regional & Whole Body)
Fractionation, Image-Guidance, & Special Services
High-Dose Rate Temporary Prostate Brachytherapy
Hyperthermia (deep, intracavitary, whole body) for Cancer Therapy
Hyperthermia (superficial external, interstitial) for Cancer Therapy
Electric Tumor Treatment Field Therapy
Endobronchial Brachytherapy
FloridaBlue
Intensity-Modulated Radiation Therapy (IMRT): Abdomen & Pelvis
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)
Hyperthermic Intraperitoneal Chemotherapy (HIPEC)
Image Guided Radiation Therapy
UHC
FloridaBlue
FloridaBlue
Cigna
Anthem
FloridaBlue
Humana
Radiation Therapy
Microwave Thermotherapy
Intensity-Modulated Radiotherapy: Cancer of the Head & Neck or Thyroid
Intensity-Modulated Radiotherapy of the Prostate
Intraoperative Radiotherapy
Isolated Limb Perfusion-Infusion for Malignant Melanoma
Intensity-Modulated Radiotherapy of the Breast & Lung
Intensity-Modulated Radiotherapy: Central Nervous System Tumors
Oncologic Applications of Photodynamic Therapy
Aetna
Proton & Neutron Beam Radiation Therapy
Radiation Therapy for T1 Basal Cell & Squamous Cell Carcinomas of the Skin
Radioembolization for Primary & Metastatic Tumors of the Liver
Proton Beam Radiotherapy (CNS & axial skeleton)
Proton Beam Radiotherapy (Non CNS)
FloridaBlue
Humana
UHC
Radiofrequency Tumor Ablation
Selective Internal Radiation Therapy (SIRT) for Primary & Secondary Hepatic Malignancy
Aetna
FloridaBlue
Tumor Treatment Fields (TTF) Therapy for Glioblastoma
Whole Brain Radiotherapy (WBRT)
Stereotactic Radiosurgery (SRS) & Stereotactic Body Radiation Therapy (SBRT)
Stereotactic Radiosurgery (Intracranial)
FloridaBlue
Humana
UHC
FloridaBlue
FloridaBlue
Oncology Combined Algorithms
MA
MA
Oncology Pharmaceuticals
Oncology Pharmaceuticals
MA
Antineoplastics

Harvard Pilgrim Commercial
Tufts Commercial
Tuft Health Direct
 Oncology Agents
Injectable, Infused, or Implanted Drugs 
Anthem
Pharmacogenomics Testing for FDA Known Gene-Drug Interactions
MA
Oncologic Genetic Testing
MA
Comprehensive Genetic Testing
MA
Neutron Beam & Proton Beam Radiation Therapy
MA
External Beam Teletherapy, Brachytherapy, IMRT, SBRT SRS, IORT, and IGRT
MA
Cancer Therapy Pathways Program
UHC
Cancer Treatment Pathways
Anthem
Aetna
Cigna
Anthem
Cigna
Point32
Proton Beam Therapy
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