Phototherapy, Photochemotherapy, Excimer Laser, Dermabrasion and Chemical Peels for Dermatologic Conditions - (0505) Form

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Effective Date

12/03/2023

Last Reviewed

NA

Original Document

  Reference



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.

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