Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0655T

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0655T: Transperineal focal laser ablation of malignant prostate tissue, including transrectal imaging guidance, with MR- fused images or other enhanced ultrasound imaging

Code: 0655T
Description: Transperineal focal laser ablation of malignant prostate tissue, including transrectal imaging guidance, with MR- fused images or other enhanced ultrasound imaging
Source: New Hampshire Precertification List, Pg 67 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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