Anthem Blue Cross and Blue Shield Virginia prior authorization 55880

Anthem Blue Cross and Blue Shield Virginia prior authorization for 55880: Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance

Code: 55880
Description: Ablation of malignant prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound guidance
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 22 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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