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ACG

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

Automated Clinical Guidelines

Knee

Indicates Non-covered Service

Indicates Non-covered Service

Autologous Chondrocyte Implantation
Cigna
FloridaBlue
Computer-Assisted Navigation for Orthopedic Procedures
Continuous Passive Motion (CPM) & Mechanical Stretching Devices
Cigna
Humana
FloridaBlue
Cooling & Heating Devices Used in the Outpatient Settings
Extracorporeal Shock Wave Therapy for Musculoskeletal Conditions
Knee Ligament Arthrometer Testing
Aetna
Menaflex Device
Aetna
FloridaBlue
Orthopedic Applications of Stem-Cell Therapy
Osteochondral Allograft Transplantatio
Cigna
Osteochondral Autograft Transplantation
Cigna
FloridaBlue

Unicondylar Interpositional Spacer

Devices

Humana
UHC
FloridaBlue

Visco-

supplements

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