Does anyone gotten approved for a abdominplasy if yes please share with me some info

I have cigna and I just saw a plastic surgen here in home town and he does not submitt any request I will have to do all that he will send in pictures and total price,He said he has not seen insurance cover this procedure but it does cover the panni. I really want the abdominoplasty. Please send any info that I could use before I submitt a request to my insurance. I will get a refferal from primary.I dont have no hernia or rashes but I have had really bad back pain..ANy info will help

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