Anthem Blue Cross and Blue Shield New Hampshire prior authorization 78494

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 78494: Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing

Code: 78494
Description: Cardiac blood pool imaging, gated equilibrium, SPECT, at rest, wall motion study plus ejection fraction, with or without quantitative processing
Source: New Hampshire Precertification List, Pg 154 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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