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27412 prior authorization | Anthem Blue Cross and Blue Shield Virginia

27412: Autologous Chondrocyte Implantation, Knee. Imported Anthem Blue Cross and Blue Shield Virginia PPO source reference; confirm plan-specific review requirements in the original document. Not a coverage or referral decision.

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Code
27412
Description
Autologous Chondrocyte Implantation, Knee
Source
Virginia PPO standard precertification/prior authorization requirements, Pg 18 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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