Molina Healthcare Texas policy
Breyanzi (lisocabtagene maraleucel; liso-cel)
Breyanzi (lisocabtagene maraleucel; liso-cel) is a public Molina Healthcare Texas policy. It lists 9 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- 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 Texas policies |
|---|---|
| 0537T | Policies naming 0537T |
| 0538T | Policies naming 0538T |
| 0539T | Policies naming 0539T |
| 0540T | Policies naming 0540T |
| 38225 | Policies naming 38225 |
| 38226 | Policies naming 38226 |
| 38227 | Policies naming 38227 |
| 38228 | Policies naming 38228 |
| Q2054 | Policies naming Q2054 |
All Molina Healthcare Texas policies · Molina Healthcare Texas prior authorization CPT list