Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0174U
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0174U: Oncology (solid tumor), mass spectrometric 30 protein targets, formalin- fixed paraffin-embedded tissue, prognostic and predictive algorithm reported as likely, unlikely, or uncertain benefit of 39 chemotherapy and targeted therapeutic oncology agents
- Code
- 0174U
- Description
- Oncology (solid tumor), mass spectrometric 30 protein targets, formalin- fixed paraffin-embedded tissue, prognostic and predictive algorithm reported as likely, unlikely, or uncertain benefit of 39 chemotherapy and targeted therapeutic oncology agents
- Source
- New Hampshire Precertification List, Pg 26 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization