Anthem Blue Cross and Blue Shield New Hampshire prior authorization 77048

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 77048: Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral

Code: 77048
Description: Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral
Source: New Hampshire Precertification List, Pg 149 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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