Prior authorization codes

Group Health Cooperative of South Central Wisconsin

Active CPT codes that appear on the extracted prior authorization list for this health plan.

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CodeProcedure / ServiceEffectiveRevisedConfidenceSource
20044
Washington, DC
2026-07-06Not listed97%
[PDF] 2026 Large Group Member Certificate - Middleton, WI
20201
Washington, DC
2026-07-06Not listed97%
[PDF] 2026 Large Group Member Certificate - Middleton, WI
44971
PO Box
2026-07-06Not listed97%
[PDF] 2026 Large Group Member Certificate - Middleton, WI
4980H
method for calculating full-time equivalents can be found in § of the Internal Revenue Code
2026-07-06Not listed97%
[PDF] 2026 Large Group Member Certificate - Middleton, WI
53707
Madison, WI -7873
2026-07-06Not listed97%
[PDF] 2026 Large Group Member Certificate - Middleton, WI
53717
John Q. Hammons Drive, Madison, WI , Telephone: (608) 251-4156, TTY: (608) 828-4815, Fax: (608) 257-3842, or
2026-07-06Not listed97%
[PDF] 2026 Large Group Member Certificate - Middleton, WI
53744
Madison, Wisconsin -4971
2026-07-06Not listed97%
[PDF] 2026 Large Group Member Certificate - Middleton, WI