Anthem Blue Cross and Blue Shield New Hampshire prior authorization 61715

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 61715: Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed

Code: 61715
Description: Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed
Source: New Hampshire Precertification List, Pg 125 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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