E3200 prior authorization | Anthem Blue Cross and Blue Shield Virginia

E3200, Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: E3200
Description: Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 65 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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