Molina Healthcare Texas policy
Amtagvi (lifileucel)
Amtagvi (lifileucel) is a public Molina Healthcare Texas policy. It lists 4 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
Check eligibility for free
No account required. Sign a BAA to see plan details, coordination of benefits and more
- Line of business
- Commercial
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 Texas policies |
|---|---|
| 96413 | Policies naming 96413 |
| 96415 | Policies naming 96415 |
| C9399 | Policies naming C9399 |
| J3590 | Policies naming J3590 |
All Molina Healthcare Texas policies · Molina Healthcare Texas prior authorization CPT list