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Implanted Electrical Stimulator for Spinal Cord
UHC (United)
Medical & Drug
Placeholder - content to be pulled from the policy
Examples: Medical documentation required, coverage criteria, codes, modifiers, etc.
63650, 63655, 63685, 63688, C1767, C1778, C1816, C1820, C1822, C1823, C1883, C1897, L8679, L8680, L8682, L8685, L8686, L8687, L8688, L8695
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