Molina HealthCare Arizona policies
Search Molina HealthCare Arizona's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.
2 policies name 75894, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Arterially Directed Embolic Therapy for Liver Tumors (example (e.g.), T A C E, T A E, D E B-TACE) | 120 · Effective Apr 8, 2026 · Commercial, Medicaid | 3 | Original policy ↗ |
| Radioembolization (Selective Internal Radiation Therapy) for Liver Tumors | 181 · Effective Jun 10, 2026 · Commercial, Medicaid | 8 | Original policy ↗ |