Blue Cross Blue Shield Oklahoma prior authorization 21146

Blue Cross Blue Shield Oklahoma prior authorization for 21146: Reconstruction Midface Lefort I; 2 Pieces Segment Movement In Any Direction Requiring Bone Grafts (Includes Obtaining Autografts) (Eg Ungrafted Unilateral Alveolar Cleft)

Code: 21146
Description: Reconstruction Midface Lefort I; 2 Pieces Segment Movement In Any Direction Requiring Bone Grafts (Includes Obtaining Autografts) (Eg Ungrafted Unilateral Alveolar Cleft)
Source: 2026 Commercial Outpatient Medical Surgical Fully Insured Prior Authorization Codes, Pg 205 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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