Anthem Blue Cross and Blue Shield New Hampshire prior authorization K0857

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for K0857: Power wheelchair, group 3 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds

Code: K0857
Description: Power wheelchair, group 3 standard, single power option, captain's chair, patient weight capacity up to and including 300 pounds
Source: New Hampshire Precertification List, Pg 250 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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