Anthem Blue Cross and Blue Shield Virginia prior authorization 63655

Anthem Blue Cross and Blue Shield Virginia prior authorization for 63655: Laminectomy, Implantation, Neurostimulator Electrodes, Plate/Paddle, Epidural

Code
63655
Description
Laminectomy, Implantation, Neurostimulator Electrodes, Plate/Paddle, Epidural
Source
Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 25 Original policy

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