Molina Healthcare Nebraska policies
Search Molina Healthcare Nebraska'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.
6 policies name 64999, those listing the fewest codes first. A policy that names a code may also list it as excluded.
| Policy | Details | Codes | Source |
|---|---|---|---|
| Kebilidi (eladocagene exuparvovec) | Commercial, Medicaid | 3 | Original policy ↗ |
| Genicular Radiofrequency Ablation RFA and Genicular Nerve Blocks for Chronic Knee Pain | Commercial | 5 | Original policy ↗ |
| Cooled Radiofrequency Ablation (CRFA) for the Management of Chronic Pain | 386 · Commercial, Medicaid | 7 | Original policy ↗ |
| Radiofrequency Nerve Ablation for Neck and Back Pain | Commercial, Medicaid | 8 | Original policy ↗ |
| Injections and Nerve Blocks for Neck and Back Pain | 468 · Effective Apr 8, 2026 · Commercial, Medicaid | 25 | Original policy ↗ |
| Implantable Peripheral Nerve and Nerve Field Stimulators for Chronic Pain | 444 · Commercial, Medicaid | 28 | Original policy ↗ |