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ACG

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

Automated Clinical Guidelines

Imaging

Cardiac Single-Photon Emission Computed Tomography (SPECT)
FloridaBlue

Indicates Non-covered Service

Whole Body Computed Tomography Scan as a Screening Test
Computed Tomography Angiography (CTA) Neck
MRI TMJ

Positional

 MRI

Videofluoroscopy, Dynamic MRI for Musculoskeletal Indications
Magnetic Resonance Spectroscopy
Humana
Radioimmuno-scintigraphy Imaging (Monoclonal Antibody Imaging) Using Technetium-99m Nofetumomab Merpentan (Verluma)
Radioimmuno-scintigraphy (Monoclonal Antibody Imaging) With Indium 111 Capromab Pendetide for Prostate Cancer
AcuTect Scintigraphic Imaging for Detection of Lower Limb Deep Vein Thrombosis
Myocardial Sympathetic Innervation Imaging in Patients with Heart Failure
Aetna
Positron Emission Mammography (PEM)
Beta Amyloid Imaging with Positron Emission Tomography (PET) for Alzheimer's Disease
Ultrasound for the Evaluation of Paranasal Sinuses
Ultrasono-graphic Evaluation of Skin Lesions
Ultrasonographic Measurement of Carotid Intimal-Medial Thickness as an Assessment of Subclinical Atherosclerosis
Quantitative Ultrasound for Tissue Characterization
Anthem
FloridaBlue