Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0376U

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0376U: Oncology (prostate cancer), image analysis of at least 128 histologic features and clinical factors, prognostic algorithm determining the risk of distant metastases, and prostate cancer-specific mortality, includes predictive algorithm to androgen deprivation-therapy response, if appropriate

Code: 0376U
Description: Oncology (prostate cancer), image analysis of at least 128 histologic features and clinical factors, prognostic algorithm determining the risk of distant metastases, and prostate cancer-specific mortality, includes predictive algorithm to androgen deprivation-therapy response, if appropriate
Source: New Hampshire Precertification List, Pg 48 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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