Anthem Blue Cross and Blue Shield New Hampshire prior authorization 72158

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 72158: Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar

Code: 72158
Description: Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar
Source: New Hampshire Precertification List, Pg 145 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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