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Other Commercial Payer Policies
Aetna – Magnetic Resonance Imaging of the Cardiovascular System - Cardiac MRI
Aetna – Cardiac CT, Coronary CT Angiography and Calcium Scoring
Aetna – Magnetic Resonance Angiography (MRA) and Magnetic Resonance Venography (MRV)
Aetna – Positron Emission Tomography (including cardiac)
 Anthem/Wellpoint
Positron Emission Tomography (PET) and PET/CT Fusion
Anthem/Wellpoint –
Contrast-Enhanced Cardiac Computed Tomography Angiography (CTA) and Cardiac Magnetic Resonance Angiography (MRA)
Blue Cross of California –
Contrast-Enhanced Cardiac Computed Tomography Angiography (CTA) and MRA (Cardiac Magnetic Resonance Angiography (MRA)
Blue Cross of California – PET and PET/CT Fusion
Blue Cross and Blue Shield of Oklahoma – CTA
Blue Cross and Blue Shield of Oklahoma – MRA
Blue Cross and Blue Shield of Oklahoma – PET
(all applications including cardiac)
Cigna – Cardiovascular Magnetic Resonance (CMR)
Cigna – Computed Tomography Angiography (CTA)
Cigna – Magnetic Resonance Angiography (MRA)
Cigna – Positron Emission Tomography (PET) - including cardiac
Premera Blue Cross – Cardiac Applications of PET Scanning
Premera Blue Cross - CTA
Horizon Blue Cross and Blue Shield of New Jersey
Medical Policy Manual
CareCore National
PHYSICIAN GUIDELINES – Current, Evidence-based Recommendations Regarding Imaging
CareCore National
PHYSICIAN GUIDELINES – Current, Evidence-based Recommendations Regarding Cardiac Imaging
CareCore National – CT/CTA Clinical Certification Request Form
CareCore National – MR/MRA Clinical Certification Request Form
CareCore National – PET Scan Precertification Form
CareCore Cardiology
CareCore Cardiology Management Cardiac CT Specialty Center, physician credentialing requirements
National Imaging Associates – Diagnostic Imaging Guidelines
Reimbursement tools
Medicare Advantage Claims Processing Contacts
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