Anthem Blue Cross and Blue Shield New Hampshire prior authorization 72191

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 72191: Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Code: 72191
Description: Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing
Source: New Hampshire Precertification List, Pg 145 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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