Anthem Blue Cross and Blue Shield New Hampshire prior authorization 58545

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 58545: Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas

Code: 58545
Description: Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas
Source: New Hampshire Precertification List, Pg 10 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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