S4024, Air polymer-type a intrauterine foam, per study dose
HCPCS/CPT
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
4 Active Policies
BCBSIL-OB402.023, Reproductive Techniques and Immunotherapy for Recurrent Fetal Loss
BCBSMT-OB402.023, Reproductive Techniques and Immunotherapy for Recurrent Fetal Loss
BCBSNM-OB402.023, Reproductive Techniques and Immunotherapy for Recurrent Fetal Loss
BCBSOK-OB402.023, Reproductive Techniques and Immunotherapy for Recurrent Fetal Loss
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