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Last Published 05.01.2026 Effective Date: 01.01.2026 – This policy addresses sacroiliac joint interventions, including sacroiliac joint injections and sacroiliac joint fusion
rc-member-tier-3|price:member-discount|sub:20.0:percent|otp:20.0:percent
Dose:10mg (10 Vials)
They are a function of the medication itself
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