Anthem Blue Cross and Blue Shield New Hampshire prior authorization 81542
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 81542: Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin- embedded tissue, algorithm reported as metastasis risk score
- Code
- 81542
- Description
- Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin- embedded tissue, algorithm reported as metastasis risk score
- Source
- New Hampshire Precertification List, Pg 181 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization