Anthem Blue Cross and Blue Shield New Hampshire prior authorization 77439

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 77439: Surface radiation therapy; superficial or orthovoltage, image guidance, ultrasound for placement of radiation therapy fields for treatment of cutaneous tumors, per course of t

Code: 77439
Description: Surface radiation therapy; superficial or orthovoltage, image guidance, ultrasound for placement of radiation therapy fields for treatment of cutaneous tumors, per course of t
Source: New Hampshire Precertification List, Pg 151 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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