Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0786T

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0786T: Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging guidance, when performed

Code: 0786T
Description: Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging guidance, when performed
Source: New Hampshire Precertification List, Pg 72 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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