Anthem Blue Cross and Blue Shield Virginia prior authorization E0738

Anthem Blue Cross and Blue Shield Virginia prior authorization for E0738: Upper extremity rehabilitation system providing active assistance to facilitate muscle re- education, includes microprocessor, all components and accessories

Code: E0738
Description: Upper extremity rehabilitation system providing active assistance to facilitate muscle re- education, includes microprocessor, all components and accessories
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 64 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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