Anthem Blue Cross and Blue Shield New Hampshire prior authorization 01942

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 01942: Anesthesia for percutaneous image- guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral

Code: 01942
Description: Anesthesia for percutaneous image- guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral
Source: New Hampshire Precertification List, Pg 27 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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