Molina Healthcare Michigan policy
Lyfgenia (lovotibeglogene autotemcel)
Lyfgenia (lovotibeglogene autotemcel) is a public Molina Healthcare Michigan policy (policy 448). It lists 3 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- 448
- Line of business
- Commercial, Medicaid
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Open official prior authorization lists to check the member’s product.
| Code | Other Molina Healthcare Michigan policies |
|---|---|
| 96413 | Policies naming 96413 |
| 96415 | Policies naming 96415 |
| J3394 | Policies naming J3394 |
All Molina Healthcare Michigan policies · Molina Healthcare Michigan prior authorization CPT list