This Voucher Includes a 2D Mammography with CAD (computer-aided detection) Unilateral or Bilateral Screening or Diagnostic. Any procedure being upgraded all terms & condition to the upgraded procedure do apply. If the value of the voucher is lower than the Tier purchased you are accepting the lesser value & lose any remaining balance. (Facility Or Provider Standard Protocol Applies) *The CPT code,(s) provided are property of AMA and are to be used for reference purpose only. The may change at any given time without notice and THP is not responsible for accuracy. Multiple CPT codes listed may be irrelevant in some or all circumstances.
Excludes Breast MRI, MRA Runoff, MR Arthrogram. Must Have A Valid Prescription/Order From A Licensed Physician. This voucher can be upgraded to a 3D Mammography. Must check availability and follow scheduling requirements of a participating THP Provider/Facility before purchase. TERMS USED BUT NOT DEFINED HEREIN SHALL HAVE THE RESPECTIVE MEANINGS GIVEN TO THEM IN THP'S TERMS & CONDITIONS FOUND ON www.transparenthealthplans.com/Term