Q4277 prior authorization | Anthem Blue Cross Blue Shield of Colorado
Q4277: Woundplus membrane or e-graft, per square centimeter. Imported Anthem Blue Cross Blue Shield of Colorado source reference; confirm plan-specific review requirements in the original document. Not a coverage or referral decision.
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- Code
- Q4277
- Description
- Woundplus membrane or e-graft, per square centimeter
- Source
- Colorado Prior Authorization List, Pg 171 Original policy
Anthem Blue Cross Blue Shield of Colorado prior authorization