Aetna
Coverage Policy Bulletin, No. 0379
Subject: Cranial Remodeling Band/Helmet
Covered: Yes, under certain condition
Verified: 18-Aug-2002
Blue
Cross/Blue Shield of North Carolina [pdf]
Subject: Cranial Banding to Treat Positional Plagiocephaly
Covered: Yes, as of Jan 1, 2003 according to page 5 of
BlueLink
Verified: 21-Oct-2004
Regence
Group, DME Policy No. 17
Subject: Dynamic Orthotic Cranioplasty as a Treatment of Plagiocephaly
Covered: No
Verified: 18-Aug-2002
Wellmark BCBS of Iowa/South Dakota,
Policy: DME04
Subject: Dynamic Orthotic Cranioplasty as a Treatment of Plagiocephaly
Covered: No
Verified: 18-Aug-2002
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