Anthem Blue Cross and Blue Shield Nevada prior authorization C9767

Anthem Blue Cross and Blue Shield Nevada prior authorization for C9767: Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s)

Code: C9767
Description: Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s)
Source: Nevada Prior Authorization List, Pg 141 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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