Anthem Blue Cross and Blue Shield Virginia prior authorization 75572

Anthem Blue Cross and Blue Shield Virginia prior authorization for 75572: Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D ima

Code: 75572
Description: Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D ima
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 29 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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