Anthem Blue Cross and Blue Shield Virginia prior authorization K0858

Anthem Blue Cross and Blue Shield Virginia prior authorization for K0858: POWER WHEELCHAIR, GROUP 3 HEAVY DUTY, SINGLE POWER OPTION, SLING/SOLID SEAT/BACK, PATIENT WEIGHT CAPACITY 301 TO 450 POU

Code: K0858
Description: POWER WHEELCHAIR, GROUP 3 HEAVY DUTY, SINGLE POWER OPTION, SLING/SOLID SEAT/BACK, PATIENT WEIGHT CAPACITY 301 TO 450 POU
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 73 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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