| HMO | Diagnostic Procedures |
| Aetna US Healthcare | Covers: Lab and x-ray, EKGs, and other diagnostic services when medically necessary and prescribed by a participating physician. |
| Blue Cross Blue Shield | Covers: Prescribed x-ray, laboratory and other diagnostic medical procedures. Screening mammograms available without referral.
Limits: Prior approval is required for some services, such as MRIs. |
| CIGNA / Healthsource | Covers: Medical diagnostic services; X-ray and laboratory services.
Limits: Magnetic Resonance Imaging (MRI) scans require prior authorization. |
| Doctors Health Plan | Covered.
Limits: MRI scans require prior authorization. |
| Generations | Covers: Laboratory and diagnostic tests; radiology and nuclear medicine.
Limits: Prior authorization required for certain MRIs. |
| Optimum Choice | Covers: All authorized diagnostic treatment, lab and X-ray services. This includes radiology, electro-cardiography, electro-encephalography, radiation therapy, and chemotherapy. |
| PARTNERS | Covers: X-ray, laboratory and other diagnostic tests. |
| Coventry/Principal Health Care of the Carolinas | Covered. |
| QualChoice | Covers: Medically necessary imaging and laboratory tests and services ordered by a physician. This includes diagnostic X-rays, X-ray therapy, electrocardiograms, laboratory tests and diagnostic clinical isotope services.
Excludes: Diagnostic or laboratory tests for research or study purposes. |
| The Wellness Plan of North Carolina, Inc. | Covers: X-ray, lab, and other diagnostic tests. |
| United HealthCare | Covers: Diagnostic procedures when provided at an approved hospital or facility and ordered by a participating physician. Screening mammograms must be provided at a participating hospital or facility, but no referral is required.
Limits: Prior approval may be required. Cost Sharing: Copayments may apply. |
| WellPath | Covers: Inpatient and outpatient diagnostic procedures prescribed by participating physician. Includes lab and x-rays, radiology and radiation therapy.
Cost Sharing: Additional copayment is not required if provided at participating physician or radiology facility. |