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Medicare Advantage Prior Authorization
Hyperbaric Oxygen Therapy

last updated 12/01/2009 garcarl


Physician attendance and supervision of hyperbaric oxygen therapy, per session
C1300 Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval 

If you are already securely logged in and would like to submit your request online click on “Authorization Submission.”
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If you would like a .pdf version of our prior authorization form, please click here.

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