Molina Healthcare of Iowa policies

Search Molina Healthcare of Iowa'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.

18 policies name 96413, those listing the fewest codes first. A policy that names a code may also list it as excluded.

Molina Healthcare of Iowa policies
PolicyDetailsCodesSource
Casgevy (exagamglogene autotemcel) for Beta Thalassemia449 · Effective Aug 12, 2026 · Commercial, Medicaid3Original policy ↗
Casgevy (exagamglogene autotemcel) for Sickle Cell Disease447 · Effective Aug 12, 2026 · Commercial, Medicaid3Original policy ↗
Elevidys (delandistrogene moxeparvovec-rokl)Commercial, Medicaid3Original policy ↗
Hemgenix (etranacogene dezaparvovec-drlb)429 · Commercial, Medicaid3Original policy ↗
Lenmeldy (atidarsagene autotemcel)453 · Commercial, Medicaid3Original policy ↗
Lyfgenia (lovotibeglogene autotemcel)448 · Commercial, Medicaid3Original policy ↗
Provenge (sipuleucel-T)Commercial, Medicaid3Original policy ↗
Ryoncil (remestemcel)Commercial3Original policy ↗
Skysona (elivaldogene autotemcel)Commercial, Medicaid3Original policy ↗
Tecelra (afamitresgene autoleucel)Commercial, Medicaid3Original policy ↗
Zolgensma (onasemnogene abeparvovec)348 · Effective Jun 10, 2026 · Commercial3Original policy ↗
Zynteglo (betibeglogene autotemcel)420 · Effective Jun 10, 2026 · Commercial, Medicaid3Original policy ↗
Amtagvi (lifileucel)Commercial4Original policy ↗
Kresladi (marnetegragene autotemcel)Commercial4Original policy ↗
Omisirge (omidubicel onlv)Commercial, Medicaid5Original policy ↗
Tregzi (allogeneic regulatory T cell immunotherapy with HSPC and T cells-vldq)Commercial, Medicaid5Original policy ↗
Waskyra (etuvetidigene autotemcel)Commercial, Medicaid5Original policy ↗
Waskyra (etuvetidigene autotemcel) MEDICARE5Original policy ↗

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