S2118 prior authorization | Anthem Blue Cross Blue Shield of Colorado

S2118: Metal-on-metal total hip resurfacing including acetabular and femoral components. 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: S2118
Description: Metal-on-metal total hip resurfacing including acetabular and femoral components
Source: Colorado Prior Authorization List, Pg 176 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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