Anthem Blue Cross and Blue Shield New Hampshire prior authorization 55875

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 55875: Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy

Code: 55875
Description: Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy
Source: New Hampshire Precertification List, Pg 124 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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