Anthem Blue Cross and Blue Shield New Hampshire prior authorization G6011

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for G6011: Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev

Code
G6011
Description
Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev
Source
New Hampshire Precertification List, Pg 231 Original policy

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