Anthem Blue Cross and Blue Shield New Hampshire prior authorization E0486

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for E0486: Oral device/appliance used to reduce upper airway collapsibility, adjustable or nonadjustable, custom fabricated, includes fitting and adjustment

Code: E0486
Description: Oral device/appliance used to reduce upper airway collapsibility, adjustable or nonadjustable, custom fabricated, includes fitting and adjustment
Source: New Hampshire Precertification List, Pg 224 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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