Abatacept (Orencia^®) 
Alefacept Injection Amevive 
Belimumab (Benlysta)
Botulinum Toxin Injection
Chemotherapy For Malignant Disease
Denosumab (Prolia^TM, XGEVA^TM)
Growth Hormone
Immune Globulin Therapy
Infliximab (Remicade)
Intravenous Antiobiotic Therapy for Lyme Disease
Ipilimumab (Yervoy)
Natalizumab Tysabri
Pulmonary Hypertension, Drug Management
Respiratory Syncytial Virus Prophylaxis
Rituximab for the Treatment of Rheumatoid Arthritis
Tocilizumab (Actemra)
Treatment for Severe Primary IGF-1 Deficiency
Ustekinumab (Stelara)
Xolair (Omalizumab)

Air Fluidized Beds
BioniCare Stimulator
Children's Mobility and Positioning Equipment
Continuous Monitoring of Glucose in the Interstitial Fluid
Continuous Passive Motion in the Home Setting
Cough Stimulating Device
Durable Medical Equipment (DME)
End Diastolic Pneumatic Compression Boot
External Defibrillators
H-Wave Electrical Stimulation
Infrared Heating Pad System in the Home Setting
Infusion Therapy in the Home
Interferential Stimulation
Lymphedema Pumps -Sequential Pneumatic Compression Device
Neurostimulation, Electrical
Noninvasive Respiratory Assist Devices
Oscillatory Devices for the Treatment of Respiratory Conditions
Oxygen and Oxygen Supplies
Patient Lifts
Power Operated Vehicle (Scooter)
Pressure Reducing Support Surfaces
Skilled Nursing Services
Speech Generating Devices
Transtympanic Micropressure Applications as a Treatment of Meniere's Disease
Wheelchairs
Wound Therapy, Noncontact Radiant Heat Bandage

Acoustic Cardiography
Adoptive Immunotherapy
Allergy Immunotherapy (Desensitization)
Allergy Testing
Ambulance and Medical Transport Services
Ambulatory Event Monitors
Analysis of Proteomic Patterns for Early Detection of Cancer
Anesthesia Services
Antiprothrombin Antibody Testing
Aqueous Shunts and Devices for Glaucoma
Assays of Genetic Expression to Determine Prognosis of Breast Cancer
Autologous Cell Therapy for the Treatment of Damaged Myocardium
Automated Nerve Conduction Tests
Baroreflex Stimulation Devices
Biofeedback
Bioimpedance Devices for Detection of Lymphedema
Bone Turnover Markers for Diagnosis and Management of Osteoporosis
BRAF Gene Mutation Testing to Select Melanoma Patients for BRAF Inhibitor Therapy
Canalith Repositioning for Benign Paroxysmal Positional Vertigo
Cardiac Hemodynamic Monitoring in the Outpatient Setting
Carotid Intimal-Medial Thickness Study
Chelation Therapy
Chemoembolization of the Hepatic Artery, Transcatheter Approach
Clinical Trial Services For Life Threatening Conditions
Common Genetic Variants to Predict Risk of Nonfamilial Breast Cancer
Complementary and Alternative Medicine
Computerized 2-Lead Resting Electrocardiogram Multifunction Cardiogram
Convection-Enhanced Delivery of Therapeutic Agents to the Brain
Correlated Audioelectric Cardiography
Dermatoscopy
Detection of Circulating Tumor Cells
DNA Based Testing for Adolescent Idiopathic Scoliosis
Diagnosis and Treatment of Chronic Cerebrospinal Venous Insufficiency in Multiple Sclerosis
Dynamic Posturography
Electrocardiographic Body Surface Mapping
Electrodiagnostic Studies
Electroencephalograms
Electrogastrography, Cutaneous
Electromagnetic Navigation Bronchoscopy
Electrostimulation and Electromagnetic Therapy for Chronic Wounds
Enhanced External Counterpulsation (EECP)
Enteral Nutrition
Epidermal Growth Factor Receptor (EGFR) Mutation Analysis for Patients with Non-Small Cell Lung Cancer (NSCLC)
Esophageal pH Monitoring
E-visits (Online Medical Evaluation)
Exhaled Nitric Oxide Measurement
Extracorporeal Photopheresis as a Treatment of Graft-versus-Host Disease, Autoimmune Disease, and Cutaneous T-Cell Lymphoma
Fecal Analysis in the Diagnosis of Intestinal Dysbiosis
Fecal Calprotectin Test
Fecal Pancreatic Elastase-1 Test
Intracellular Micronutrient Analysis
Gait Analysis
Gene-Based Tests for Screening, Detection, and/or Management of Prostate Cancer
Gene Expression Testing to Predict Coronary Artery Disease
Genetic Testing for Breast and Ovarian Cancer
Genetic Testing for Colon Cancer
Genetic Testing for Cutaneous Malignant Melanoma
Genetic Testing for Helicobacter pylori Treatment
Genetic Testing for Lipoprotein (a) as a Decision Aid for Aspirin Treatment
Genetic Testing for Long QT Syndrome
Genetic Testing for Non-Malignant Inherited Disorders
Genetic Testing for Predisposition to Inherited Hypertrophic Cardiomyopathy
Genotyping for 9p21 Genetic Polymorphisms to Predict Cardiovascular Disease Risk
Growth Factors in Wound Healing
Hyperbaric Oxygen Pressurization
Hyperhidrosis, Treatment of
Hyperthermia Therapy
Idiopathic Environmental Intolerance (i.e., Clinical Ecology)
Immune Cell Function Assay in Solid Organ Transplantation
Ingestible pH and Pressure Capsule
Injectable Clostridial Collagenase for Fibroproliferative Disorders
Insulin Potentiation Therapy
Insulin Therapy, Chronic Intermittent Intravenous (CIIIT)
Intradialytic Parenteral Nutrition
Intraepidermal Nerve Fiber Density
In Vitro Chemoresistance and Chemosensitivity Assays
Kappa Lambda Clonal Excess
KIF6 Genotyping for Predicting Cardiovascular Risk and/or Effectiveness of Statin Therapy
Laboratory Testing to Allow Area Under the Curve (AUC) Targeted 5-Fluorouracil (5-FU) Dosing for Patients Administered 5-FU for Cancer
Laboratory Tests for Heart Transplant Rejection
Lipoprotein-Associated Phospholipase A2
Melanoma Vaccines
Microarray based Gene Expression Testing for Cancers of Unknown Primary
Microwave Thermotherapy for Primary Breast Cancer
Multigene Expression Assay for Predicting Recurrence in Colon Cancer
Non-Contact Ultrasound Treatment for Wounds
Non-BRCA Breast Cancer Risk Assessment (Onco Vue)
Non Pharmacologic Treatment of Rosacea
Observation Room Services
Occipital Nerve Stimulation
PathFinder TG Molecular Testing
Paraspinal Surface Electromyography (EMG)
Pelvic Floor Stimulation as a Treatment of Urinary Incontinence
Pharmacogenetic Testing for Warfarin Dose
Private Duty Nursing Services
Prolotherapy
Proteomics Based Testing for the Evaluation of Ovarian (Adnexal) Masses
Quantitative Sensory Testing
Serum Holo-Transcobalamin as a Marker of Vitamin B12 Status
Sexual Dysfunction Treatment, Female
Signal Averaged ECG
Skilled Nursing Facility Care
Skilled Nursing Services
Sleep Apnea: Diagnosis and Medical Management
Systems Pathology for Predicting Risk of Recurrence in Prostate Cancer
T - Wave Alternans
Targeted Phototherapy for Psoriasis
Telemedicine
Temporary Prostatic Stent
Thermography
Topical Hyperbaric Oxygen Therapy
Total Parenteral Nutrition
Ultrasonographic Evaluation of Skin Lesions
Urinary Tumor Markers for Bladder Cancer
Tyrosine Kinase Mutations in Myeloproliferative Neoplasms

Chromosomal Microarray (CMA) Analysis for Genetic Evaluation of Developmental Delay/Autism Spectrum Disorder
Rapid Opioid Detoxification
Residential Treatment for Chemical Dependency
Transcranial Magnetic Stimulation

Acute and Maintenance Tocolysis
Cervicography
Fetal Surgery for Malformations
Infertility, Diagnosis and Treatment
Home Uterine Activity Monitoring
Hormone Pellet Implantation for Hormone Replacement Therapy in Women
Myolsis of Uterine Fibroids
Natural Killer Cell Assay for Habitual Spontaneous Abortions
Ovarian and Internal Iliac Vein Embolization
Progesterone Therapy in High Risk Pregnancies
Salivary Estriol as a Risk Predictor for Pretern Labor
Salivary Hormone Tests
Secondary Physician Attendance at Delivery
Surgical Interruption of Pelvic Nerve Pathways for Dysmenorrhea

Accelerated Partial Breast Radiotherapy (Breast Brachytherapy)
Bone Mineral Density Studies
Brachytherapy, Intracavitary Balloon Catheter for Brain Cancer
Brachytherapy Treatment of Breast Cancer
Capsule Endoscopy, Wireless
Charged Particle Radiotherapy
Computed Tomography to Detect Coronary Artery Calcification
Computer-Aided Evaluation of Malignancy with MRI of the Breast
CT Perfusion Imaging
Digital Breast Tomosynthesis
High-Intensity Focused Ultrasound for Treatment of Prostate Cancer
Intensity Modulated Radiation Therapy for Tumors of the Central Nervous System
Intensity Modulated Radiation Therapy (IMRT) of Abdomen and Pelvis
Intensity Modulated Radiation Therapy (IMRT) of Breast and Lung
Intensity Modulated Radiation Therapy (IMRT) of Head and Neck
Intensity Modulated Radiation Therapy (IMRT) of the Prostate
Intravascular Ultrasound Imaging (IVUS)
Lung Cancer Screening, CT Scanning or Chest Radiographs
Magnetic Resonance Spectroscopy
Magnetoencephalography/Magnetic Source Imaging
Monoclonal Antibody Imaging
Monoclonal Antibody Imaging for Prostate Cancer
MRI Guided High Intensity Ultrasound Ablation of Uterine Fibroids
Optical Coherence Topography
Positional Magnetic Resonance Imaging (MRI)
Prostate Cancer Treatment with Brachytherapy
Real Time Intra Fraction Target Tracking During Radiation Therapy
Vertebroplasty and Kyphoplasty Percutaneous
Whole Body Computed Tomography Scan as a Screening Test

Allogeneic Hematopoietic Transplant for Genetic Diseases and Acquired Anemia
Allogeneic Stem Cell Transplantation for Myelodysplastic Syndromes
Ankle Replacement, Total
Anterior Cruciate Ligament Allograft
Artificial Intervertebral Disc
Autologous Chondrocyte Implantation
Balloon Sinuplasty for Treatment of Chronic Sinusitis
Axial Lumbosacral Interbody Fusion
Bioengineered Skin and Tissue
Bone Morphogenetic Protein
Breast Surgeries
Bronchial Thermoplasty
Cardiac (Heart) Transplantation
Carotid Artery Angioplasty / Stenting (CAS)
Catheter Ablation of the Pulmonary Veins as a Treatment for Atrial Fibrillation
Cochlear Implant
Collagen Implantation
Computer Assisted Surgical Navigational Orthopedic Procedures
Congenital Heart Defect, Repair Devices
Cord Blood as a Source of Stem Cells
Cosmetic and Reconstructive Surgery
Cryosurgical Ablation of Primary or Metastatic Liver Tumors
Cryosurgical Ablation of Miscellaneous Solid Tumors Other Than Liver, Prostate, or Dermatologic Tumors
Decompression of the Intervertebral Disc Using Laser Energy (Laser Discectomy) or Radiofrequency Coblation (Nucleoplasty)
Dental Inpatient and Outpatient Services
Dental, Reconstructive Services
Electrical Bone Growth Stimulation
Electrothermal Arthroscopic Capsulorrhaphy
Endobronchial Valves
Endothelial Keratoplasty
Endovascular Procedures for Intracranial Arterial Disease
Endovascular Stent Graft for Abdominal Aortic Aneurysm
Endovascular Stent Graft for Thoracic Aortic Aneurysm
Epithelial Cell Cytology and Breast Cancer Risk Assessment
Epiretinal Radiation Therapy for Age-Related Macular Degeneration
Extracorporeal Shock Wave Treatment for Musculoskeletal Conditions and Wound Healing
Facet Joint Denervation
Functional Endoscopic Sinus Surgery (FESS)
Gastric Electrical Stimulation
Gastroesophageal Reflux Disease, Transendoscopic Therapies
Gender Reassignment Surgery
Heart-Lung Transplantation
Hematopoietic Stem-Cell Transplantation for Autoimmune Diseases
Hematopoietic Stem-Cell Transplantation for Chronic Myelogenous Leukemia
Hematopoietic Stem Cell Transplantation for CNS Embryonal Tumors and Ependymoma
Hematopoietic Stem-Cell Transplantation for CLL and SLL
Hematopoietic Stem-Cell Transplantation for Epithelial Ovarian Cancer
Hematopoietic Stem-Cell Transplantation for Hodgkin Lymphoma
Hematopoietic Stem-Cell Transplantation for Miscellaneous Solid Tumors in Adults
Hematopoietic Stem-Cell Transplantation for Multiple Myeloma
Hematopoietic Stem-Cell Transplantation for Primary Amyloidosis
Hematopoietic Stem-Cell Transplantation for Solid Tumors of Childhood
Hematopoietic Stem-Cell Transplantation in the Treatment of Germ Cell Tumors
Hematopoietic Stem Cell Transplant for Acute Myeloid Leukemia
Hematopoietic Stem-Cell Transplant for Non Hodgkin's Lymphomas
Hematopoietic Stem Cell Transplantation for Acute Lymphoblastic Leukemia
Hematopoietic Stem Cell Transplantation for Breast Cancer
Hematopoietic Stem Cell Transplantation for Malignant Astrocytomas and Gliomas
Hematopoietic Stem Cell Transplantation for Waldenstrom Macroglobulinemia
Hyperthemic Intraperitoneal Chemotherapy
Intradiscal Electrothermal (IDET) Annuloplasty and Percutaneous Intradiscal Radiofrequency Annuloplasty
Islet Cell Transplantation
Image Guided Minimally Invasive Lumbar Decompression (IG-MLD) for Spinal Stenosis
Implantable Bone Conduction Hearing Aids
Implantation of Intrastromal Corneal Ring Segments
Intravitreal Implant
Keratoprosthesis
Laser Treatment of Port Wine Stains
Left Atrial Appendage Closure Device for Stroke Prevention
Liver Transplant
Lumbar Spine Fusion Surgery
Lung and Lobar Lung Transplantation
Lung Volume Reduction Surgery
Lysis of Epidural Adhesions
Meniscal Allografts and Collagen Meniscus Implants
Minimally Invasive Hip and Knee Arthroplasty
Mohs' Micrographic Surgery
Orthognathic Surgery
Osteochondral Grafting in the Treatment of Articular Cartilage Lesions
Otoplasty
Pancreas Transplant
Partial Hip Resurfacing
Percutaneous Electrical Nerve Stimulation (PENS) or Neuromodulation Therapy
Percutaneous Discectomy
Periurethral Bulking Agents for the Treatment of Urinary Incontinence
Plugs for Fistula Repair
Posterior Tibial Nerve Stimulation for Voiding Dysfunction
Pulmonary Artery Balloon Angioplasty, Percutaneous Transluminal Approach
Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors
Radiofrequency Tissue Remodeling for Urinary Stress Incontinence
Radiosurgery, Stereotactic Approach
Reconstructive Eyelid Surgery and Brow Lift
Refractive Surgery
Renal (Kidney) Transplantation
Retinal Prosthesis
Reverse Shoulder Arthroplasty
Rhinoplasty
Sacral Nerve Neuromodulation/Stimulation for Pelvic Floor Dysfunction
Saturation Biopsy for Diagnosis and Staging of Prostate Cancer
Semi implantable and fully implantable middle ear hearing aid
Sexual Dysfunction Treatment, Male
Small Bowel, Small Bowel with Liver, or Multivisceral Transplant
Spinal Cord Stimulation
Spinal Surgery Using Interspinous Distraction Technology
Subtalar Arthroereisis
Surgery for Femoroacetabular Impingement
Surgery for Morbid Obesity
Surgery for Obstructive Sleep Apnea and Upper Airway Resistance Syndrome
Surgical Treatment of Chest Wall Deformities (Congenital or Acquired)
Surgical Ventricular Restoration
Temporomandibular Joint Dysfunction (TMJD) Treatment
Thoracoscopic Laser Ablation of Emphysematous Pulmonary Bullae
Tinnitus Treatment
Topical Negative Pressure Therapy for Wounds
Total Facet Arthroplasty
Total Hip Resurfacing
Transanal Endoscopic Microsurgery
Transanal Radiofrequence Treatment of Fecal Incontinence
Transcatheter Closure of Ventricular Septal Defects
Transcatheter Heart Valve Implantation
Ultrasound Accelerated Fracture Healing Device
Vagus Nerve Stimulation
Varicose Veins, Treatment for
Vesicoureteral Reflux, Treatment with Periureteral Bulking Agents

Back School
Cellular Immunotherapy for Prostate Cancer
Microprocessor-Controlled Prostheses for the Lower Limb
Myoelectric Prosthetic Components for the Upper Limb
Prosthetic Appliances
Rehabilitative Therapies
Radioembolization for Primary and Metastatic Tumors of the Liver
Stem-cell Therapy for Peripheral Arterial Disease

Anterior Eye Segment Optical Imaging
Cardiac Rehabilitation
Chiropractic Services
Corneal Topography
Foot Care Services
Functional Capacity Assessment and Work Hardening
Fundus Photography
Orthopedic Applications of Stem Cell Therapy
Orthotics
Sensory Integration Therapy
Spinal Manipulation under Anesthesia
Suprachoroidal Delivery of Pharmacologic Agents
Vertebral Axial Decompression (VAX-D)