Anthem Blue Cross and Blue Shield New Hampshire prior authorization G6012

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for G6012: Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev

Code: G6012
Description: Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev
Source: New Hampshire Precertification List, Pg 231 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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