L6885 prior authorization | Blue Cross and Blue Shield of Montana

L6885, Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: L6885
Description: Replacement socket, shoulder disarticulation/interscapular thoracic, molded to patient model, for use with or without external power
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 274 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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