durable medical equipment - BCBSIL
E1594: Cycler dialysis machine for peritoneal dialysis 19. K0738: ... BCBSIL Provider Manual—Rev 5/10 5 Group II criteria: an arterial PO2 of 56-59 MM Hg, or O2 saturation at or below 89 percent at rest ... Sleep Lab Study results must be available and provided upon request. Although all DME is billed and paid as a
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SummaryofBenefitsandCoverage: …
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