© 2005 Kaiser Foundation Health Plan of Washington. All Rights Reserved. Back to Top Kaiser Foundation Health Plan of Washington Clinical Review Criteria Artificial Spinal Discs for Single-Level Lumbar or Cervical Disc Disease • BryanTM • CharitéTM • PrestigeTM Artificial Discs • ProDisc-CTM • ProDisc-LTM • Two-level cervical artificial disc replacement for the treatment of cervical degenerativ...

© 1999 Kaiser Foundation Health Plan of Washington. All Rights Reserved. . Back to Top Kaiser Foundation Health Plan of Washington Clinical Review Criteria Bariatric Surgery  Adjustable gastric banding, Laparoscopic or Open (Lap Band)  EndoGastric Solutions Stomaphy XTM Endoluminal Fastener  Gastric Bypass for GERD  Gastric Electrical Stimulator  Intragastric Balloons  Laparoscopic Sleeve...