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ACG

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

Automated Clinical Guidelines

Neurologic & Neurosurgery

Indicates Non-covered Service
Cervical Disc Replacement
Epidural Lysis of Adhesions
Anthem
Humana

Hydrodissection

-Humana-

Non-covered

Facet

Arthroplasty

-Humana-

Non-covered

Interspinous & Interlaminar Stabilization/Distraction (Spacers) & Fixation (Fusion) Devices
Laser Interstitial Thermal Therapy
Cigna
Humana
FloridaBlue
Humana

Surgical Treatment of Occipital Neuralgia & Headache

Occipital Nerve Stimulation
FloridaBlue
FloridaBlue

Peripheral Nerve Stimulation & Peripheral Nerve Field Stimulation

Cigna
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