Anthem Blue Cross and Blue Shield New Hampshire prior authorization 70554

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 70554: Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist administration

Code: 70554
Description: Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist administration
Source: New Hampshire Precertification List, Pg 143 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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