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Provider Administered Drugs - Site of Care
UHC (United)
Medical & Drug
Placeholder - content to be pulled from the policy
Examples: Medical documentation required, coverage criteria, codes, modifiers, etc.
90283, 90284, C9094, C9399, J0129, J0180, J0219, J0221, J0222, J0223, J0224, J0256, J0257, J0490, J0491, J0517, J0584, J0638, J0717, J0739, J0741, J0791, J0896, J0897, J1300, J1301, J1302, J1303, J1305, J1322, J1426, J1427, J1428, J1429, J1459, J1551, J1554, J1555, J1556, J1458, J1557, J1558, J1559, J1561, J1566, J1568, J1569, J1572, J1575, J1576, J1602, J1743, J1745, J1746, J1786, J1823, J1931, J2182, J2327, J2356, J2786, J2840, J2998, J3032, J3060, J3241, J3245, J3262, J3357, J3358, J3380, J3385, J3397, J3490, J3590, J9332, J9381, Q5103, Q5104, Q5121
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