ALPHABETICAL VIEW
Abdominoplasty and Panniculectomy (02/15/10) (PDF, 71KB)
Acne Procedures (03/15/10) (PDF, 103KB)
Acupuncture (03/15/10) (PDF, 210KB)
Actinic Keratosis Treatments (11/15/09) (PDF, 173KB)
Adoptive Immunotherapy (11/15/09) (PDF, 161KB)
Adrenal-to-Brain and Fetal Mesencephalic Transplantation for Parkinson Disease (12/15/09) (PDF, 161KB)
Airway Clearing Device in the Ambulatory Setting (05/15/10) (PDF, 150KB)
Allergy Testing (05/15/10) (PDF, 155KB)
Allograft Transplant of the Knee, Including Anterior Cruciate, Osteochondral and Meniscal (06/15/10) (PDF, 189KB)
Ambulatory Assist Devices (03/15/09) (PDF, 93KB)
Ambulatory Blood Pressure Monitoring with Automatic Portable Monitors (06/15/10) (PDF, 141KB)
Amnioinfusion (11/15/06) (PDF, 156KB)
Amniotic Membrane Transplant for the Treatment of Ocular Conditions (05/15/10) (PDF, 122KB)
Anesthesia and Facility Services for Dental Treatment (11/15/09) (PDF, 113KB)
Anodyne Therapy (05/15/09) (PDF, 113KB)
Apheresis for Hypercholesterolemia (01/15/10) (PDF, 132KB)
Arthroscopic Lavage and Debridement of the Knee for the Treatment of Osteoarthritis and Other Knee Conditions (02/15/10) (PDF, 113KB)
Assays of Genetic EXpression in Tumor Tissue as a Prognosis in Patients with Breast Cancer (03/15/10) (PDF, 283KB)
Attention-Deficit/Hyperactivity Disorder (ADHD) (11/15/09) (PDF, 241KB)
Aural Rehabilitation (09/15/09) (PDF, 110KB)
Autism Spectrum Disorders/Pervasive Developmental Disorders: Assessment and Treatment (12/15/09) (PDF, 248KB)
Autologous Chondrocyte Transplantation (06/15/10) (PDF, 91KB)
Autologous Skeletal Myoblast Transplant/Autologous Cell Therapy for Damaged Myocardium (02/15/10) (PDF, 174KB)
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Balloon Valvuloplasty (01/15/10) (PDF, 157KB)
Bariatric Surgery (05/15/10) (PDF, 255KB)
Barnett Continent Intestinal Reservoir (05/15/09) (BCIR) (PDF, 97KB)
Bathroom and Toilet Equipment and Supplies (05/15/09) (PDF, 178KB)
Benign Prostatic Hypertrophy (BPH) Treatments (09/15/08) (PDF, 187KB)
Benign Skin Lesion Removal (03/15/09) (PDF, 75KB)
Biofeedback (02/15/09) (PDF, 299KB)
Biventricular Pacing/Cardiac Resynchronization Therapy (CRT) (08/15/09) (PDF, 204KB)
Blepharoplasty, Blepharoptosis Repair and Brow Lift (04/15/10) (PDF, 133KB)
Bone Graft Substitutes for Use in Bone Repair (03/15/10) (PDF, 316KB)
Bone Growth Stimulators: Invasive, Noninvasive, Ultrasound (04/15/10) (PDF, 184KB)
Bone Mineral Density Measurement (03/15/10) (PDF, 168KB)
Botulinum Toxin Type A (Botox® A) (08/15/09) (PDF, 155KB)
Botulinum Toxin Type B (Myobloc®) (09/15/08) (PDF, 152KB)
Brachytherapy Following Femoropopliteal Percutaneous Transluminal Angioplasty (PTA) (06/15/10) (PDF, 61KB)
Brachytherapy of The Prostate (11/15/09) (PDF, 212KB)
Brachytherapy of the Breast (11/15/09) (PDF, 188KB)
Breast Implant Removal (02/15/10) (PDF, 94KB)
Breast Pumps (06/15/10) (PDF, 119KB)
Breast Reconstruction Following Mastectomy or Lumpectomy (09/15/09) (PDF, 204KB)
Breath Test for Detection of Heart Transplantation Rejection (06/15/10) (PDF, 89KB)
Bunionectomy (03/15/10) (PDF, 131KB)
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Capsule Endoscopy (02/15/10) (PDF, 126KB)
Cardiac Event Monitors (04/15/10) (PDF, 145KB)
Cardiac Rehabilitation (Phase II Outpatient) (03/15/10) (PDF, 137KB)
Cardiovascular Magnetic Resonance (CMR) (09/15/09) (PDF, 112KB)
Carotid Artery Stenting for Carotid Artery Stenosis (10/15/09) (PDF, 194KB)
Chelation Therapy (11/15/09) (PDF, 98KB)
Chiropractic Care (12/15/09) (PDF, 143KB)
Cineradiography/Videofluoroscopy (09/15/08) (PDF, 72KB)
Cochlear and Auditory Brainstem Implants (05/15/10)(PDF, 214KB)
Cognitive Rehabilitation (07/15/10) (PDF, 137KB) (07
Colorectal Cancer Screening and Surveillance (06/15/10) (PDF, 216KB)
Complementary and Alternative Medicine (06/15/10) (PDF, 189KB)
Complex Lymphedema Therapy (Complete Decongestive Therapy) (05/15/09) (PDF, 130KB)
Computed Tomography Angioraphy (CTA) (09/15/09) (PDF, 231KB)
Computed Tomographic Colonography/Virtual Colonoscopy (06/15/10) (PDF, 146KB)
Computed Tomography for Whole-Body Screening (12/15/09) (PDF, 115KB)
Computer-Assisted Guidance for Orthopedic Surgery (06/15/10) (PDF, 141KB)
Continuous Passive Motion (CPM) Devices (08/15/09) (PDF, 140KB)
Cooling Devices for Multiple Sclerosis (06/15/09) (PDF, 124KB)
Corneal Remodeling (09/15/09) (PDF, 162KB)
Corneal Pachymetry (03/15/10) (PDF, 136KB)
Cryoablation of Breast Lesions (04/15/10) (PDF, 161KB)
Cryoablation of Liver Tumors (03/15/10) (PDF, 156KB)
Cryounits/Cooling Devices (03/15/10) (PDF, 121KB)
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Deep Brain Stimulation (09/15/09) (PDF, 156KB)
Devices for Voice Rehabilitation Following Total Laryngectomy (09/15/07) (PDF, 125KB)
Diabetic Supplies (08/15/08) (PDF, 157KB)
Diaphragmatic/Phrenic Nerve Stimulation (07/15/10) (PDF, 133KB)
Dielectical Behavior Therapy (07/15/09) (PDF, 145KB)
Discography (07/15/07) (PDF, 145KB)
Distraction Osteogenesis (DO) for Craniofacial Deformities (09/15/08) (PDF, 174KB)
Donor Leukocyte Infusion (01/15/10) (PDF, 148KB)
Drug-Eluting Stents for Ischemic Heart Disease (06/15/10) (PDF, 214KB)
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Electrical Stimulation for Wound Healing (05/15/10) (PDF, 160KB)
Electrical Stimulators (08/15/08) (PDF, 257KB)
Electromyography Studies (07/15/10) (PDF, 114KB)
Electron Beam Computed Tomography (EBCT) and Multidetector Comuter Tomography (MDCT) for Coronary Artery Calcification (12/15/09) (PDF, 175KB)
Endometrial Ablation (01/15/10) (PDF, 174KB)
Endoscopic Anti-Reflux Procedures (12/15/09) (PDF, 181KB)
External Insulin Pump (03/15/10) (PDF, 274KB)
Extracorporeal Immunoadsorption With Protein A Column (07/15/09) (PDF, 166KB)
Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions (10/15/09) (PDF, 166KB)
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Fetal Surgery (08/15/09) (PDF, 214KB)
Foot Care Services (02/15/09) (PDF, 72KB)
Functional Magnetic Resonance Imaging (MRI), Brain (07/15/10) (PDF, 126KB)
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Gastric Pacing/Gastric Electrical Stimulation (GES) (05/15/10) (PDF, 104KB)
Gender Reassignment Surgery (01/15/10) (PDF, 96KB)
Genetic Testing for Susceptibility to Breast and Ovarian Cancer BRCA1 & BRCA2 (07/15/10) (PDF, 175KB)
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Hammer Toe Surgery (03/15/10) (PDF, 127KB)
Heart Transplantation (08/15/08) (PDF, 87KB)
Home Apnea Monitoring for Infants (03/15/09) (PDF, 132KB)
Home Blood Glucose Monitoring (03/15/10) (PDF, 190KB)
Home Phototherapy for Hyperbilirubinemia (04/15/10) (PDF, 151KB)
Home Traction Devices: Cervical and Lumbar (01/15/10) (PDF, 179KB)
Home Uterine Activity Monitoring (09/15/09) (PDF, 109KB)
Hospice Care (03/15/10) (PDF, 109KB)
Hospital Beds and Accessories (01/15/10) (PDF, 138KB)
Hospitalization for the Initiation of a Ketogenic Diet for Intractable Seizure Disorder (06/15/10) (PDF, 112KB)
Hydroxyprogesterone Caproate (17á- Hydroxy-progesterone) (04/15/10) (PDF, 122KB)
Hyperbaric Oxygen Therapy (04/15/10) (PDF, 205KB)
Hyperhidrosis Treatments (01/15/10) (PDF, 148KB)
Hysterectomy (04/15/10) (PDF, 354KB)
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Immune Globulin Intravenous (Human) (IGIV): Carimune™ NF, Flebogamma®, Gammagard™, Gammar® P.I.V., Gamunex®, Iveegam® EN, Octagam®, Panglobulin® NF, Polygam® S/D, Privigen® (04/15/10) (PDF, 436KB)
Implantable Cardioverter Defibrillator (ICD)(01/15/10) (PDF, 187KB)
Implantable Infusion Pumps (06/15/10) (PDF, 223KB)
Infertility Services (06/15/10) (PDF, 223KB)
Inpatient Acute Rehabilitation (02/15/07) (PDF, 146KB)
Inpatient Admission for Radiation Therapy (08/15/07) (PDF, 175KB)
Intensity-Modulated Radiation Therapy (IMRT) (04/15/10) (PDF, 135KB)
Interspinous Process Decompression System (e.g., X STOP®) (04/15/09) (PDF, 222KB)
Intervertebral Disc (IVD) Prosthesis (12/15/09) (PDF, 281KB)
Intestinal and Multivisceral Transplant (02/15/10 (PDF, 170KB)
Intestinal Rehabilitation Programs (03/15/09) (PDF, 103KB)
Intradiscal Electrothermal Therapy (IDET)(02/15/10) (PDF, 103KB)
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Kidney Transplantation (09/15/09) (PDF, 146KB)
Knee Arthroplasty (05/15/10) (PDF, 177KB)
Knee Braces (05/15/08) (PDF, 173KB)
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Liver Transplant (05/15/09) (PDF, 227KB)
Lower Limb Orthoses (08/15/09) (PDF, 202KB)
Lower Limb Prosthetic Devices (Including Vacuum-Assisted Socket System and Microprocessor/Computer-Controlled Lower Limb Prostheses) (08/15/08) (PDF, 180KB)
Lumbar Fusion for Spinal Instability and Degnerative Disc Conditions (12/15/09) (PDF, 210KB)
Lung and Heart-Lung Transplantation (09/15/08) (PDF, 237KB)
Lung Volume Reduction Surgery (11/15/07) (PDF, 184KB)
Lyme Disease Treatment (08/15/08) (PDF, 173KB)
Lymphedema Pumps and Sleeves (05/15/10) (PDF, 173KB)
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Magnetic Resonance (MR) Spectroscopy (MRS) (01/15/09) (PDF, 163KB)
Magnetic Resonance Angiography (MRA) (09/15/09) (PDF, 219KB)
Magnetic Resonance Cholangiopancreatography (MRCP) (02/15/10) (PDF, 81KB)
Magnetic Resonance Imaging (MRI) of the Breast (10/15/09) (PDF, 176KB)
Magnetic Resonance Imaging (MRI), Low-Field (05/15/10) (PDF, 212KB)
Magnetic Resonance Neurography (03/15/10) (PDF, 33KB)
Malignant Melanoma Surveillance Technologies (11/15/09) (PDF, 121KB)
Manipulation Under Anesthesia (MUA) (10/15/09) (PDF, 113KB)
Mammary duct Aspiration and Lavage (02/15/10) (PDF, 223KB)
Maze Procedure (05/15/10) (PDF, 113KB)
Mechanical Devices for the Treatment of Back Pain (08/15/08) (PDF, 162KB)
Meniett™ Device)(11/15/09) (PDF, 52KB)
Minimally Invasive Total Hip Arthroplasty (11/15/09) (PDF, 179KB)
Minimally Invasive Treatment of Back Pain (07/15/10) (PDF, 175KB)
Myoelectric Protheses (11/15/09) (PDF, 134KB)
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Negative-Pressure Wound Therapy/Vacuum-Assisted Closure (VAC) for Non-Healing Wounds (03/15/09) (PDF, 151KB)
Nerve Conduction Velocity Studies Including Late Response (H-reflex and F-wave) (07/15/10 (PDF, 142KB)
Neuropsychological Testing (07/15/10) (PDF, 158KB)
Never Events (02/15/09) (PDF, 50KB)
Nuclear Imaging Including Single-Photon Emission Computed Tomography (SPECT)(10/15/09) (PDF, 387KB)
Nutritional Support (08/15/08) (PDF, 154KB)
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Obstructive Sleep Apnea Diagnosis and Treatment Services (10/15/09) (PDF, 365KB)
Occupational Therapy (11/15/09) (PDF, 195KB)
Organ Transplant Donation (11/15/09) (PDF, 209KB)
Orthognathic Surgery (10/15/09) (PDF, 209KB)
Osteochondral Autograft Transplant (Mosaicplasty/OATS®) (10/15/09 (PDF, 179KB)
Oxygen for Home Use (10/15/09) (PDF, 143KB)
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Pancreas-Kidney Transplantation and Pancreas Transplantation Alone< (09/15/09) /a> (PDF, 255KB)
Pancreatic Islet Cell Transplantation (06/15/10) (PDF, 144KB)
Parenteral Tocolytic Therapy (10/15/09) (PDF, 124KB)
Pelvic Denervation Procedures (06/15/10) (PDF, 67KB)
Penile for Erectile Dysfunction (05/15/10) (PDF, 67KB)
Percutaneous Vertebroplasty, Kyphoplasty, and Sacroplasty (04/15/10) (PDF, 167KB)
Photopheresis (Extracorporeal Photochemotherapy) (04/15/10) (PDF, 167KB)
Phototherapy, Photochemotherapy, ad Excimer Laser Therapy for dermatologic Conditions (04/15/10) (PDF, 128KB)
Physical Therapy (12/15/08) (PDF, 128KB)
Plantar Fasciitis Treatments (02/15/09) (PDF, 144KB)
Plasmapheresis (10/15/09) (PDF, 320KB)
Pneumatic Compression Devices for Vascular Diseases of the Lower Extremities (05/15/10) (PDF, 144KB)
Positron Emission Tomography (PET) (07/15/10) (PDF, 145KB)
Postoperative Continuous Local Delivery of Analgesia (02/15/10) (PDF, 180KB)
Preoperative Inpatient Admissions (08/15/07) (PDF, 131KB)
Pressure Reducing Surfaces (02/15/09) (PDF, 68KB)
Prophylactic Mastectomy (02/15/08) (PDF, 145KB)
Prophylactic Oophorectomy With or Without Hysterectomy (02/15/10) (PDF, 145KB)
Pulmonary Rehabilitation (05/15/10)(PDF, 152KB)
Pulse Oximetry for Home Use (06/15/09) (PDF, 128KB)
Pulsed Electromagnetic Therapy (11/15/09) (PDF, 128KB)
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Quantitative Sensory Testing (QST) (12/15/09) (PDF, 128KB)
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Radioembolization with Yttrium-90 (90Y) Microspheres (04/15/10) (PDF, 163KB)
Radiofrequency Ablation (RFA) of Renal Masses (11/15/09) (PDF, 145KB)
Radiofrequency Ablation for Primary and Metastatic Cancers of the Liver (PDF, 105KB)
Reduction Mammoplasty (PDF, 133KB)
Redundant Skin Surgery (10/15/09) (PDF, 124KB)
Reflex Sympathetic Dystrophy/Complex Regional Pain Syndrome Treatment (02/15/10) (PDF, 150KB)
Rhinoplasty/Septoplasty (07/15/10) (PDF, 135KB)
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Sacral Nerve Stimulation For Urinary Voiding Dysfunction (08/15/08) (PDF, 137KB)
Scar Revision (04/15/10) (PDF, 144KB)
Scoliosis Treatments, Idiopathic (07/15/10) (PDF, 173KB)
Seat Lift Mechanisms and Patient Lifts (06/15/10) (PDF, 122KB)
Sensory Stimulation for Individuals in Coma or Persistent Vegetative State (12/15/09) (PDF, 144KB)
Sensory and Auditory Integration-Facilitated Communication (02/15/10) (PDF, 74KB)
Somatosensory Evoked Potentials (07/15/10)(PDF, 137KB)
Somatropin (Genotropin, Humatrope, Norditropin, Nutropin, Nutropin AQ, Saizen, Serostim, Tev-Tropin, Zorbtive) (PDF, 245KB) (11/15/09)
Speech Generating Devices (03/15/10) (PDF, 166KB)
Speech Therapy for Swallowing and Feeding Disorders (12/15/08) (PDF, 175KB)
Speech/Language Therapy (06/15/08) (PDF, 278KB)
Spinal Cord Stimulation (07/15/10) (PDF, 149KB)
Spinal Orthoses (07/15/10) (PDF, 125KB)
Spinal Ultrasound (PDF, 128KB)
Spiral Computed Tomography for Lung Cancer Screening (12/15/09) (PDF, 127KB)
Stem-Cell Transplant for Acute Lymphocytic/Lymphoblastic Leukemia: Adult (09/15/09) (PDF, 236KB)
Stem-Cell Transplant for Acute Myelogenous Leukemia (02/15/10)(PDF, 286KB)
Stem-Cell Transplantation for Adult Solid Tumors (01/15/10) (PDF, 225KB)
Stem-Cell Transplantation for Amyloidosis (11/15/09) (PDF, 178KB)
Stem-Cell Transplantation for Aplastic Anemia (05/15/10) (PDF, 209KB)
Stem-Cell Transplantation for Autoimmune Diseases (06/15/10) (PDF, 96KB)
Stem-Cell Transplantation for Breast Cancer (PDF, 142KB) (06/15/10)
Stem-Cell Transplantation for Central Nervous System Tumors (PDF, 142KB) (07/15/10)
Stem-Cell Transplant for Chronic Lymphocytic Leukemia (12/15/09) (PDF, 189KB)
Stem-Cell Transplantation for Chronic Myelogenous Leukemia (11/15/09) (PDF, 132KB)
Stem-Cell Transplantation for Chronic Myelomonocytic Leukemia (CMML) and Juvenile Myelomonocytic Leukemia (JMML) (11/15/09) (PDF, 132KB)
Stem-Cell Transplantation for Epithelial Ovarian Cancer (04/15/10)(PDF, 89KB)
Stem-Cell Transplantation Fanconi Anemia (05/15/10) (PDF, 99KB)
Stem-Cell Transplantation for Hodgkin Disease (10/15/09) (PDF, 188KB)
Stem-Cell Transplantation for Inherited Metabolic Disorders (07/15/10) (PDF, 218KB)
Stem-Cell Transplantation for Myelodysplastic Syndrome (10/15/09) (PDF, 188KB)
Stem-Cell Transplant for Myelofibrosis (03/15/10) (PDF, 204KB)
Stem-Cell Transplantation for Multiple Myeloma and POEMS Syndrome (04/15/10) (PDF, 266KB)
Stem-Cell Transplantation for Neuroblastoma (10/15/09) (PDF, 179KB)
Stem-Cell Transplantation for Non-Hodgkin's Lymphoma (12/15/09) (PDF, 268KB)
Stem-Cell Transplant for Polycythemia Vera (03/15/10) (PDF, 106KB)
Stem-Cell Transplantation for Primary Immunodeficiency Disorders (07/15/10) (PDF, 106KB)
Stem-Cell Transplantation for Renal Cell Carcinoma (05/15/10) (PDF, 141KB)
Stem-Cell Transplantation for Sickle Cell Disease and Thalassemia Major (07/15/10) (PDF, 268KB)
Stem-Cell Transplant for Solid Tumors in Children (08/15/08) (PDF, 138KB)
Stem-Cell Transplant for Testicular Cancer (03/15/10) (PDF, 216KB)
Stereotactic Radiosurgery (04/15/10) (PDF, 215KB)
Stretch Devices for Joint Stiffness and Contractures( 09/15/08 ) (PDF, 135KB)
Stuttering Treatment Devices (06/15/10) (PDF, 67KB)
Subtalar Arthroereisis (11/15/09) (PDF, 47KB)
Suit Therapy (05/15/10) (PDF, 132KB)
Surgery for Male Sexual Dysfunction (08/18/08) (PDF, 167KB)
Surgical Interventions for Urinary Incontinence (12/15/09) (PDF, 293KB)
Surgical Treatment for Chest Wall Deformities (Pectus Excavatum/Carinatum and Poland Syndrome) (03/15/10) (PDF, 134KB)
Surgical Treatment of Gynecomastia (10/15/09) (PDF, 104KB)
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Temporomandibular Joint (TMJ) Disorder Surgery (08/15/08) (PDF, 151KB)
Therabite Jaw Motion Rehabilitation System™ (07/15/10) (PDF, 151KB)
Thermography/Temperature Gradient Studies (3/15/10) (PDF, 180KB)
Tilt Table Testing (3/15/10) (PDF, 62KB)
Tinnitus Treatment Services and Devices (11/15/09) (PDF, 125KB)
Tissue-Engineered Skin Substitutes and Platelet-derived Growth Factors (05/15/10)(PDF, 367KB)
Total Ankle Arthroplasty (02/15/10) (PDF, 145KB)
Total Artificial Heart (11/15/09) (PDF, 136KB)
Transcatheter ArterialChemoembolization (TACE) (02/15/10) (PDF, 151KB)
Transcatheter Closure of Septal Defects (11/15/09) (PDF, 166KB)
Transcranial Doppler Ultrasonography (11/15/09) (PDF, 194KB)
Transcutaneous Electrical Joint Stimulation Devices (12/15/09) (PDF, 103KB)>
Transmyocardial Revascularization (TMR) and Percutaneous Myocrdial Revascularization (PMR) (12/15/09) (PDF, 154KB)
Treatment of Cutaneous Congenital Hemangiomas (04/15/10) (PDF, 143KB)
Transcutaneous Electrical Joint Stimulation Devices (12/15/08) (PDF, 103KB)>
Tumor In Vitro Chemosensitivity and Chemoresistance Assays (02/15/10) (PDF, 72KB)
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Ultrasound In Pregnancy (08/15/08) (PDF, 160KB)
Umbilical Cord Blood Banking (06/15/10) (PDF, 61KB)
Uterine Artery Embolization (01/15/09) (PDF, 110KB)
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Vagus Nerve Stimulation (VNS) (10/15/09) (PDF, 156KB)
Varicose Vein Treatments (11/15/09) (PDF, 330KB)
Vestibular Rehabilitation and Particle Repositioning Maneuvers (01/15/09) (PDF, 81KB)
Video Electroencephalographic (V-EEG) Monitoring (11/15/09) (PDF, 145KB)
Vision Therapy/Orthoptics (12/15/08)(PDF, 145KB)
Visual Perceptual Training (08/15/08) (PDF, 118KB)
Vitrectomy Chair/Vitrectomy Support System/Face-Down Positioning (02/15/08) (PDF, 114KB)
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Wearable Cardioverter Defibrillator and Automatic External Defibrillator (01/15/10) (PDF, 129KB)
Wheelchairs/Power Operated Vehicles (PDF, 234KB)
Whole Body Dual X-Ray Absorptiometry (DXA) (03/15/10) (PDF, 53KB)
Wireless Esophageal pH Monitoring System (Bravo) (04/15/10) (PDF, 161KB)
Work Hardening Programs (04/15/09) (PDF, 94KB)
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