Anthem Blue Cross and Blue Shield New Hampshire prior authorization 27096

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 27096: Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed

Code: 27096
Description: Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed
Source: New Hampshire Precertification List, Pg 97 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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