Anthem Blue Cross and Blue Shield New Hampshire prior authorization 81254

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 81254: GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb [del(GJB6- D13S1830)] and 232kb [del(GJB6- D13S1854)])

Code: 81254
Description: GJB6 (gap junction protein, beta 6, 30kDa, connexin 30) (eg, nonsyndromic hearing loss) gene analysis, common variants (eg, 309kb [del(GJB6- D13S1830)] and 232kb [del(GJB6- D13S1854)])
Source: New Hampshire Precertification List, Pg 162 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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