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Prostate Surgeries and Interventions
UHC (United)
Medical & Drug
Placeholder - content to be pulled from the policy
Examples: Medical documentation required, coverage criteria, codes, modifiers, etc.
0421T, 0582T, 0655T, 0714T, 0738T, 0739T, 37243, 52441, 52442, 53850, 53852, 53854, 53855, 55866, 55867, 55873, 55874
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