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ACG

h.o.l.M.E.S.

Automated Clinical Guidelines

All Other Musculoskeletal Surgery

Ultrasound Ablation for Oncologic Indications

High Intensity Focused Ultrasound (HIFU)

Indicates Non-covered Service
Indicates Non-covered Service
Athletic Pubalgia Surgery
Autologous Cellular Implant Derived from Adipose Tissue
Autologous Platelet-Derived Growth Factors (Platelet-Rich Plasma [PRP])
Computer-Assisted Navigation for Orthopedic Procedures

Extracorporeal Shock Wave Therapy for Musculoskeletal Conditions &

Soft Tissue Wounds

 Ablation Techniques & Extracorporeal Shock Wave Therapy for Musculoskeletal Indications & Soft Tissue Wounds
Cartilage Regeneration Membrane
Cigna
Humana
Cigna
Cigna
FloridaBlue
UHC
UHC
Humana
Cigna
 Electrothermal Intradiscal Therapies
Healing Response Technique
In-Office Diagnostic Arthroscopy

Irreversible Electroporation (NanoKnife)

Surgical Treatment of Occipital Neuralgia & Headache
Orthopedic Applications of Stem-Cell Therapy
Cigna
Humana
Cigna
FloridaBlue
UHC
Cigna
Humana
Electrothermal Arthroscopy
Aetna
Cigna
FloridaBlue
FloridaBlue
Prolotherapy for Musculo-skeletal Indications
Subchondroplasty
Thermal Shrinkage

Xenograft Implantation into the Articular Surface

Cigna
Humana
Cigna
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