Anthem Blue Cross and Blue Shield Nevada prior authorization 64635

Anthem Blue Cross and Blue Shield Nevada prior authorization for 64635: Destruction By Neurolytic Agent, Paravertebral Facet Joint Nerve(S), With Imaging Guidance (Fluoroscopy Or Ct); Lumbar Or Sacral, Single Facet Joint

Code: 64635
Description: Destruction By Neurolytic Agent, Paravertebral Facet Joint Nerve(S), With Imaging Guidance (Fluoroscopy Or Ct); Lumbar Or Sacral, Single Facet Joint
Source: Nevada Prior Authorization List, Pg 72 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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