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

Aetna

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United Healthcare

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Department of Veterans Affairs Health Plan

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Cigna

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BCBS Federal Employee Plan

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Utah Medicaid

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Based on Medical Necessity

SelectHealth

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DFU and VLU

Regence

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Based on Medical Necessity - Chronic Diabetic Ulcers

Molina Healthcare

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DFU and VLU

Noridian

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Based on Medical Necessity

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