Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0474T

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0474T: Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space

Code: 0474T
Description: Insertion of anterior segment aqueous drainage device, with creation of intraocular reservoir, internal approach, into the supraciliary space
Source: New Hampshire Precertification List, Pg 56 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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