Anthem Blue Cross and Blue Shield New Hampshire prior authorization G6016

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for G6016: Compensator-based beam modulation treatment delivery of inverse planned treatment using three or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session

Code: G6016
Description: Compensator-based beam modulation treatment delivery of inverse planned treatment using three or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session
Source: New Hampshire Precertification List, Pg 232 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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