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HCPCS/CPT A6577, Gradient compression arm sleeve, custom, heavy weight, each | Prior Auth Required

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`A6577`, Gradient compression arm sleeve, custom, heavy weight, each

HCPCS/CPT

Prior Authorization

Prior Auth Required

Code explicitly requires prior authorization (high confidence)

Medicare Pricing

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

1 Active Policy

EVICORE-HPLAN-CIGNA_MEDICARE-268F28B96146, Cigna Medicare Advantage Durable Medical Equipment Code List - Effective 01/01/2025

Related Codes

A4271(1 policies)A4287(1 policies)A4335(1 policies)A4341(1 policies)A4342(1 policies)A4421(1 policies)A4457(1 policies)A4239(1 policies)

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