Anthem Blue Cross Blue Shield of Georgia prior authorization K0877

Anthem Blue Cross Blue Shield of Georgia prior authorization for K0877: Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds

Code: K0877
Description: Power wheelchair, group 4 standard, single power option, sling/solid seat/back, patient weight capacity up to and including 300 pounds
Source: Standard Local Prior Authorization Code List, Pg 117 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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