Arizona | GRAFIX PL Lyopreserved Placental Membrane and GRAFIX Cryopreserved Placental Membrane

Department of Veterans Affairs Health Plan

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Banner Health - University Family Care

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Based on Medical Necessity

Mercy Care Plan

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Based on Medical Necessity

BCBS of AZ

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DLEU

Centene Corporation

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DFU, VSU, and VLU

HealthNet

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DFU, VSU, and VLU

Noridian

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Based on Medical Necessity

Aetna

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DFU

Cigna

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Commercial DFU
Medicare Advantage DFU, VLU, DLEU

Department of Veterans Affairs Health Plan

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DLEU

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