Anthem Blue Cross Blue Shield of California prior authorization 1058T

Anthem Blue Cross Blue Shield of California prior authorization for 1058T: Revision of implanted subcutaneous unilateral supraorbital and occipital neurostimulator system, including all interrogation, programming, and imaging guidance, when performed

Code: 1058T
Description: Revision of implanted subcutaneous unilateral supraorbital and occipital neurostimulator system, including all interrogation, programming, and imaging guidance, when performed
Source: California PPO Prior Authorization List, Pg 18 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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