E1805, Dynamic adjustable wrist extension and flexion device, includes soft interfaceHCPCS/CPT
Prior Auth Required
At least one active policy explicitly requires prior authorization (high confidence)
ANTHEM-CG-DME-39, Dynamic Low-Load Prolonged-Duration Stretch Devices
EVICORE-HPLAN-CIGNA_MEDICARE-268F28B96146, Cigna Medicare Advantage Durable Medical Equipment Code List - Effective 01/01/2025
AETNA-CPB-0405, Mechanical Stretching Devices for Contracture and Joint Stiffness
AETNA-CPB-0009, Orthopedic Casts, Braces and Splints
AMBETTER-CP.MP.144, Mechanical Stretching Devices for Joint Stiffness and Contracture
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