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Mammostrat Breast Cancer Recurrence Assay - eviCore

    https://www.evicore.com/-/media/files/evicore/clinical-guidelines/solution/lab-management/healthplan/2020-guidelines/mammostrat_breast_cancer_2020.pdf
    The Mammostrat ® Breast Cancer ... (clinical utility), and/or performs better than an existing standard of care medical management option. Such tests are also not generally accepted as standard of care in the evaluation or management of a particular condition. o In the …

Corporate Medical Policy - Blue Cross NC

    https://www.bluecrossnc.com/sites/default/files/document/attachment/services/public/pdfs/medicalpolicy/gene_expression_testing_for_breast_cancer_prognosis.pdf
    This medical policy relates only to the services or supplies described herein. Please refer to the Member's ... Mammostrat, is considered investigational . 4. Use of Oncotype DX …

Gene Expression Profiling for the Management of …

    https://www.wellmark.com/-/media/sites/public/files/medical-policies/gene-expression-profiling-breast-cancer
    This Medical Policy document describes the status of medical technology at the time the document was developed. Since that time, new technology may have …

12/2 0 /22 - PreferredOne

    https://www.preferredone.com/getting-care/medical-policy/viewpdf.aspx?dc=mc_l012
    Medical Policy Quality Management Subcommittee Date Approved: 09/13/22 Clinical Policy Document: Molecular Testing , Tumor/Neoplasm Biomarkers …

Medical Policy - Highmark Health Options

    https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/medical-payment-policies/medical-policies/hho-de-mp-1211-geneexpressionprofilingintumortissue-012222.pdf
    Highmark Health Options may provide coverage under medical surgical benefits of the Company’s Medicaid products for medically necessary gene expression profiling in tumor …

IBC Medical Policies

    https://medpolicy.ibx.com/ibc/Commercial/Pages/Policy/faea9ca0-5aaf-4df6-b345-ecb509a725f6.aspx
    All other gene expression assays for breast cancer prognosis (e.g., Mammostrat® Breast Cancer Test, Insight TNBCtype, ... are covered under the medical benefits of the …

Clinical Policy: Gene Expression Profile Testing of Cancer …

    https://www.coordinatedcarehealth.com/content/dam/centene/Coordinated%20Care/policies/clinical-policies/508-WA.CP.MP.511-Gene-Expression-Profile-Testing.pdf
    This policy describes the medical necessity guidelines for gene expression profile testing of cancer tissue to aid treatment decision-making. ... 81599 Unlisted multianalyte assay with …

Mammostrat®as a tool to stratify breast cancer patients …

    https://breast-cancer-research.biomedcentral.com/articles/10.1186/bcr2604
    Introduction Patients with early-stage breast cancer, treated with endocrine therapy, have approximately 90% 5-year disease-free survival. However, for patients at …

The Regence Group Medical Policy Manual Table of Contents

    https://blue.regence.com/trgmedpol/contents/m.html
    Mammostrat® Management of homocysteine levels ... If you are a physician and have a question or comment regarding a medical policy, please contact the …

Medical policy | Providers | Independence Blue Cross (IBX)

    https://www.ibx.com/resources/for-providers/policies-and-guidelines/operations-management/medical-policy
    The Medical Policy Portal offers streamlined navigation to the various types of policies available. Once you accept the terms and conditions below, you’ll be connected to the …



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