Anthem Blue Cross and Blue Shield New Hampshire prior authorization 76377

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 76377: 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation

Code: 76377
Description: 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation
Source: New Hampshire Precertification List, Pg 149 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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