Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0201T

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0201T: Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, includes imaging guidance and bone biopsy, when performed

Code: 0201T
Description: Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, includes imaging guidance and bone biopsy, when performed
Source: New Hampshire Precertification List, Pg 28 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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