Rocky Mountain Health Plans

Submitted by Admin on
States
Oasis Wound Matrix Q4102

Covered Based on Medical Necessity – DFU/VLU/DLEU; Other Wounds Follows UHC

Oasis Burn Matrix Q4103

Covered Based on Medical Necessity – DFU/VLU/DLEU; Other Wounds Follows UHC

Oasis Ultra Q4124

Covered Based on Medical Necessity – DFU/VLU/DLEU; Other Wounds Follows UHC