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L5987 prior authorization | Anthem Blue Cross and Blue Shield Nevada

L5987: Shank Ft W Vert Load Pylon. Imported Anthem Blue Cross and Blue Shield Nevada source reference; confirm plan-specific review requirements in the original document. Not a coverage or referral decision.

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Code
L5987
Description
Shank Ft W Vert Load Pylon
Source
Nevada Prior Authorization List, Pg 157 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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