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

Automated Clinical Guidelines

Site of Service Criteria

Medicare

Procedure Price Lookup

Planning an outpatient Procedure?

You may have options for where you have your outpatient procedure.

Compare national average prices for procedures done in both ambulatory surgical centers and hospital outpatient departments.

Aetna

Inpatient Admission Prior to Surgery (Preop Days)

Anthem

Anthem Ambulatory or Outpatient Surgery Center Procedures
Anthem Hospital-Based Ambulatory Surgical Procedures and Endoscopic Services
Level of Care for Musculo-skeletal Surgery and Procedures
Outpatient Physical Therapy, Occupational Therapy, and Speech-Language Pathology Services Site of Care
Anthem Site of Care for Specialty Pharmaceuticals
Advanced Radiologic Imaging Site of Service Criteria

Cigna

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Site of Care: High-tech Radiology - Cigna
Medication Administration Site of Care
Site of Care: Outpatient Hospital for Select Musculoskeletal Procedures - Cigna
Site of Care Outpatient Hospital Setting for Physical & Occupational Therapy
Cigna

FloridaBlue

Site of Care Considerations for Select Specialty Medications

Humana

Site of Care and Specialty Medication Sourcing for Injectable Drugs
Site of Service - Advanced Radiologic Imaging

Michigan Blue

Outpatient Hospital Setting Site of Care

UHC

UHC Outpatient Surgical Procedures - Site of Service Criteria: Auditory System
UHC Outpatient Surgical Procedures - Site of Service Criteria: Cardiovascular System
UHC Computed Tomography (CT) Scan - Site of Service
UHC Outpatient Surgical Procedures - Site of Service Criteria: Digestive System
UHC Outpatient Surgical Procedures - Site of Service Criteria: Eye/Ocular Adnexa System
UHC Outpatient Surgical Procedures - Site of Service Criteria: Female Genital System
UHC Outpatient Surgical Procedures - Site of Service Criteria: Hemic and Lymphatic Systems
UHC Outpatient Surgical Procedures - Site of Service Criteria: Integumentary System
UHC Magnetic Resonance Imaging (MRI) - Site of Service
UHC Outpatient Surgical Procedures - Site of Service Criteria: Male Genital System
UHC Outpatient Surgical Procedures - Site of Service Criteria: Musculoskeletal System
UHC Outpatient Surgical Procedures - Site of Service Criteria: Nervous System
UHC Outpatient Surgical Procedures - Site of Service Criteria: Respiratory System
UHC Outpatient Surgical Procedures - Site of Service Criteria: Urinary System
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