Anthem Blue Cross and Blue Shield New Hampshire prior authorization C9359

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for C9359: Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty), per 0.5 cc

Code: C9359
Description: Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty), per 0.5 cc
Source: New Hampshire Precertification List, Pg 218 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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