Anthem Blue Cross and Blue Shield New Hampshire prior authorization 64484

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 64484: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for primary procedure)

Code: 64484
Description: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for primary procedure)
Source: New Hampshire Precertification List, Pg 136 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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