Anthem Blue Cross and Blue Shield New Hampshire prior authorization 81170

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 81170: ABL1 (ABL proto-oncogene 1, non- receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain

Code: 81170
Description: ABL1 (ABL proto-oncogene 1, non- receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain
Source: New Hampshire Precertification List, Pg 156 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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