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This is a Molina-specific cap that differs from the CMS LCD in both threshold and code list and should not be conflated with the A56681 limits

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Zara Cosentino, commenting on the panel's composition, said that while the disclosure of conflicts is a positive transparency measure, it creates a structural problem: "especially when the people who stand to gain from growing access are the ones making the decision." Advisory meetings are subject to federal transparency requirements experts with financial stakes may serve, but relationships must be disclosed and the FDA is expected to explain why the panelist's expertise outweighs the conflict

If BPH isnt treated, it can lead to: Urinary tract infections (UTIs)