Anthem Blue Cross and Blue Shield New Hampshire prior authorization 77435

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 77435: Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions

Code: 77435
Description: Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions
Source: New Hampshire Precertification List, Pg 151 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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