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Pelvis Imaging Amendment to Cigna-eviCore General Pelvis ...

Page 1 of 4 Medical Coverage Policy DV001 Medical Coverage Policy Effective Date ..02/01/2022 Next Review Date ..08/15/2022 Coverage Policy Amendment .. DV001 Pelvis Imaging Amendment to Cigna-eviCore General Pelvis Imaging Guideline Table of Contents Overview .. 1 Amendment .. 1 References .. 3 Related Coverage Resources General Pelvis Imaging Guideline Transvaginal Ultrasound, Non-Obstetrical INSTRUCTIONS FOR USE The following Coverage Policy applies to health benefit plans administered by Cigna Companies. Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations.

Am J Gastroenterol. 2014 Aug;109(8):1141-57; (Quiz) 1058. “Cigna Companies” refers to operating subsidiaries of Cigna Corporation. All products and …

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