Anthem Blue Cross and Blue Shield New Hampshire prior authorization G6004
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for G6004: Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 6-10 mev
- Code
- G6004
- Description
- Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 6-10 mev
- Source
- New Hampshire Precertification List, Pg 231 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization