Anthem Blue Cross and Blue Shield New Hampshire prior authorization K0891

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for K0891: Power wheelchair, group 5 pediatric, multiple power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds

Code: K0891
Description: Power wheelchair, group 5 pediatric, multiple power option, sling/solid seat/back, patient weight capacity up to and including 125 pounds
Source: New Hampshire Precertification List, Pg 251 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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