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G6012

Radiation Therapy and Chemotherapy

RADIATION TREATMENT DELIVERY

RADIATION TREATMENT DELIVERY

G6015

Radiation Therapy and Chemotherapy

RADIATION TX DELIVERY IMRT

RADIATION TX DELIVERY IMRT

L3260

Durable Medical Equipment

AMBULATORY SURGICAL BOOT EAC

AMBULATORY SURGICAL BOOT EAC

Basic Benefit Services - Children Until End Of Calendar Month Age 13

Member for

7 years 5 months

Submitted by Site Factory admin on Mon, 04/15/2024 - 15:19

Service Benefit Category Id

12880

Servicios con beneficios básicos - Niños hasta el final del mes calendario en el que cumplan 13 años

Member for

7 years 5 months

Submitted by Site Factory admin on Mon, 04/15/2024 - 15:19

Service Benefit Category Id

12880

Major Benefit Services - Children Until End Of Calendar Month Age 13

Member for

7 years 5 months

Submitted by Site Factory admin on Mon, 04/15/2024 - 15:19

Service Benefit Category Id

12881

Servicios con beneficios principales - Niños hasta el final del mes calendario en el que cumplan 13 años

Member for

7 years 5 months

Submitted by Site Factory admin on Mon, 04/15/2024 - 15:19

Service Benefit Category Id

12881

13101

Inpatient Medical and Surgical Care in a General Hospital

Complicated repair of wound of trunk, 2.6-7.5 cm

Complicated repair of wound of trunk, 2.6-7.5 cm

13121

Inpatient Medical and Surgical Care in a General Hospital

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm

13131

Inpatient Medical and Surgical Care in a General Hospital

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm