Molina Healthcare Texas policy
Hemgenix (etranacogene dezaparvovec-drlb)
Hemgenix (etranacogene dezaparvovec-drlb) is a public Molina Healthcare Texas policy (policy 429). It lists 3 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- 429
- 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 |
|---|---|
| 96413 | Policies naming 96413 |
| 96415 | Policies naming 96415 |
| J1411 | Policies naming J1411 |
All Molina Healthcare Texas policies · Molina Healthcare Texas prior authorization CPT list