Molina Healthcare Illinois policy
MCP-433: Roctavian (valoctocogene roxaparvovec)
MCP-433: Roctavian (valoctocogene roxaparvovec) is a public Molina Healthcare Illinois policy (policy MCP-433). It lists 3 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- MCP-433
- Line of business
- Medicaid
- States
- IL
- Source
- www.molinahealthcare.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Molina Healthcare Illinois policies |
|---|---|
| 96413 | Policies naming 96413 |
| 96415 | Policies naming 96415 |
| J1412 | Policies naming J1412 |