Anthem Blue Cross and Blue Shield New Hampshire prior authorization C9772

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for C9772: Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed

Code: C9772
Description: Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed
Source: New Hampshire Precertification List, Pg 220 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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