Anthem Blue Cross and Blue Shield New Hampshire prior authorization 81316

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 81316: PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative or quantitative

Code: 81316
Description: PML/RARalpha, (t(15;17)), (promyelocytic leukemia/retinoic acid receptor alpha) (eg, promyelocytic leukemia) translocation analysis; single breakpoint (eg, intron 3, intron 6 or exon 6), qualitative or quantitative
Source: New Hampshire Precertification List, Pg 167 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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