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UHC (United)
Medical & Drug
Placeholder - content to be pulled from the policy Examples: Medical documentation required, coverage criteria, codes, modifiers, etc.
86704, 86705, 86706, 86707, 86708, 86709, 86803, 86804, 87340, 87341, 87350, 87467, 87902, 87912, G0472, G0499