Anthem Blue Cross and Blue Shield New Hampshire prior authorization G6014

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for G6014: Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater

Code: G6014
Description: Radiation treatment delivery, three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater
Source: New Hampshire Precertification List, Pg 232 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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