Anthem Blue Cross and Blue Shield New Hampshire prior authorization 78814

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 78814: Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)

Code: 78814
Description: Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)
Source: New Hampshire Precertification List, Pg 155 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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