Anthem Blue Cross and Blue Shield New Hampshire prior authorization 81313

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 81313: PCA3/KLK3 (prostate cancer antigen 3 [non-protein coding]/kallikrein-related peptidase 3 [prostate specific antigen]) ratio (eg, prostate cancer)

Code: 81313
Description: PCA3/KLK3 (prostate cancer antigen 3 [non-protein coding]/kallikrein-related peptidase 3 [prostate specific antigen]) ratio (eg, prostate cancer)
Source: New Hampshire Precertification List, Pg 166 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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