Anthem Blue Cross and Blue Shield New Hampshire prior authorization 78432

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 78432: Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), dual radiotracer (eg, myocardial viability)

Code: 78432
Description: Myocardial imaging, positron emission tomography (PET), combined perfusion with metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s], when performed), dual radiotracer (eg, myocardial viability)
Source: New Hampshire Precertification List, Pg 153 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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