top of page
Proton Beam Radiation Therapy

UHC (United)

Medical & Drug

Placeholder - content to be pulled from the policy
Examples: Medical document
ation required, coverage criteria, codes, modifiers, etc. 

77301, 77338, 77385, 77386, 77387, 77520, 77522, 77523, 77525, G6015, G6016, G6017

bottom of page